Provider Demographics
NPI:1821662909
Name:BIEN-AIME, PAULE
Entity Type:Individual
Prefix:MS
First Name:PAULE
Middle Name:
Last Name:BIEN-AIME
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PAULE
Other - Middle Name:
Other - Last Name:BIEN-AIME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:35 FAIRVIEW TER
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1414
Mailing Address - Country:US
Mailing Address - Phone:203-769-9745
Mailing Address - Fax:
Practice Address - Street 1:35 FAIRVIEW TER
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:CT
Practice Address - Zip Code:06418-1414
Practice Address - Country:US
Practice Address - Phone:203-769-9745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4004224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist