Provider Demographics
NPI:1992836308
Name:SHULMAN, PAULA B (MSED, MA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:B
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:MSED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 TURNERS FALLS RD
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:MA
Mailing Address - Zip Code:01351-9576
Mailing Address - Country:US
Mailing Address - Phone:413-367-9894
Mailing Address - Fax:
Practice Address - Street 1:425 UNION ST
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4115
Practice Address - Country:US
Practice Address - Phone:413-737-4718
Practice Address - Fax:413-827-7817
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist