Provider Demographics
NPI:1851780985
Name:COLE, PAULA JUDE
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JUDE
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N. LEAVITT RD.
Mailing Address - Street 2:LABRAE LOCAL SCHOOLS
Mailing Address - City:LEAVITTSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44430
Mailing Address - Country:US
Mailing Address - Phone:330-898-0800
Mailing Address - Fax:
Practice Address - Street 1:1001 N. LEAVITT RD.
Practice Address - Street 2:LABRAE LOCAL SCHOOLS
Practice Address - City:LEAVITTSBURG
Practice Address - State:OH
Practice Address - Zip Code:44430
Practice Address - Country:US
Practice Address - Phone:330-898-0800
Practice Address - Fax:330-898-7808
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist