Provider Demographics
NPI:1972543387
Name:FUCHS, PAULA S (PSYD)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:S
Last Name:FUCHS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 SAVILLE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-6824
Mailing Address - Country:US
Mailing Address - Phone:617-721-7067
Mailing Address - Fax:
Practice Address - Street 1:50 SAVILLE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-6824
Practice Address - Country:US
Practice Address - Phone:617-721-7067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6090103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05133OtherBCBS
MAW05133Medicare ID - Type Unspecified