Provider Demographics
NPI:1023878022
Name:FLOYD, PAULA (PHD)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:FLOYD
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 1:3631 OTTATI PL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-2930
Mailing Address - Country:US
Mailing Address - Phone:270-498-5145
Mailing Address - Fax:
Practice Address - Street 1:9701 BRODIE LN STE 205
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6284
Practice Address - Country:US
Practice Address - Phone:737-808-4014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40064103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical