Provider Demographics
NPI:1205963576
Name:PAULA, TAMARA SOREL (PHD)
Entity type:Individual
Prefix:MRS
First Name:TAMARA
Middle Name:SOREL
Last Name:PAULA
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 1:216 CATALONIA AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6737
Mailing Address - Country:US
Mailing Address - Phone:786-367-0196
Mailing Address - Fax:
Practice Address - Street 1:216 CATALONIA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6737
Practice Address - Country:US
Practice Address - Phone:786-367-0196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8631103TC1900X
FLMH 7816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health