Provider Demographics
NPI:1639946718
Name:FIRE, PAULETTE KARMIOL (PHD LMFT)
Entity type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:KARMIOL
Last Name:FIRE
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:DR
Other - First Name:PAULETTE
Other - Middle Name:
Other - Last Name:FEUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD LMFT
Mailing Address - Street 1:1033 KALMIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1743
Mailing Address - Country:US
Mailing Address - Phone:303-817-6914
Mailing Address - Fax:
Practice Address - Street 1:1033 KALMIA AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1743
Practice Address - Country:US
Practice Address - Phone:303-817-6914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist