Provider Demographics
NPI:1255787909
Name:ARNOLD-BOLAND, PAULA ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:ELIZABETH
Last Name:ARNOLD-BOLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1488
Mailing Address - Country:US
Mailing Address - Phone:330-666-5690
Mailing Address - Fax:
Practice Address - Street 1:1151 SHANNON AVE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-6714
Practice Address - Country:US
Practice Address - Phone:330-825-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHUA1006911103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool