Provider Demographics
NPI:1922276385
Name:GEARAN, PAULA PEARSALL (MED)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:PEARSALL
Last Name:GEARAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DAY ST # 1
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-2823
Mailing Address - Country:US
Mailing Address - Phone:617-417-3881
Mailing Address - Fax:
Practice Address - Street 1:35 DAY ST # 1
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2823
Practice Address - Country:US
Practice Address - Phone:617-417-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist