Provider Demographics
NPI:1962680678
Name:DURLOFSKY, PAULA JAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:JAN
Last Name:DURLOFSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 GREAT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1715
Mailing Address - Country:US
Mailing Address - Phone:484-431-8710
Mailing Address - Fax:610-668-1580
Practice Address - Street 1:403 GREAT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1715
Practice Address - Country:US
Practice Address - Phone:484-431-8710
Practice Address - Fax:610-667-6080
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016381103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist