Provider Demographics
NPI:1942418355
Name:BERRY, PAULA K (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:K
Last Name:BERRY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:193 STONEHEDGE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-2865
Mailing Address - Country:US
Mailing Address - Phone:203-929-1118
Mailing Address - Fax:203-929-1119
Practice Address - Street 1:200 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7127
Practice Address - Country:US
Practice Address - Phone:203-380-4553
Practice Address - Fax:203-380-4554
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics