Provider Demographics
NPI:1891817110
Name:GOOLKASIAN, PAULA
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:GOOLKASIAN
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 1:9201 UNIVERSITY CITY BLVD
Mailing Address - Street 2:UNC CHARLOTTE, PSYCH DEPT
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28223-0001
Mailing Address - Country:US
Mailing Address - Phone:704-687-4749
Mailing Address - Fax:704-687-3096
Practice Address - Street 1:9201 UNIVERSITY CITY BLVD
Practice Address - Street 2:UNC CHARLOTTE, PSYCH DEPT
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28223-0001
Practice Address - Country:US
Practice Address - Phone:704-687-4749
Practice Address - Fax:704-687-3096
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral