Provider Demographics
NPI:1245442896
Name:WHANG-RAMOS, PAULA LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:LYNN
Last Name:WHANG-RAMOS
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 1:8339 CHURCH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4453
Mailing Address - Country:US
Mailing Address - Phone:408-842-0208
Mailing Address - Fax:408-782-5823
Practice Address - Street 1:8339 CHURCH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4453
Practice Address - Country:US
Practice Address - Phone:408-842-0208
Practice Address - Fax:408-782-5823
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY13601103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PSY136010Medicare ID - Type Unspecified