Provider Demographics
NPI:1245332899
Name:PAPERNOW, PATRICIA L (EDD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:L
Last Name:PAPERNOW
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 BROOK ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-3228
Mailing Address - Country:US
Mailing Address - Phone:978-568-0025
Mailing Address - Fax:
Practice Address - Street 1:175 BROOK ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-3228
Practice Address - Country:US
Practice Address - Phone:978-568-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2893103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW03032Medicare ID - Type UnspecifiedMEDICAREB