Provider Demographics
NPI:1720101835
Name:GUERRA, PAULA MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:MARIA
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:MARIA
Other - Last Name:GUERRA-LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 MOUNTAIN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2640
Mailing Address - Country:US
Mailing Address - Phone:908-277-8900
Mailing Address - Fax:908-941-9423
Practice Address - Street 1:34 MOUNTAIN BLVD STE B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2640
Practice Address - Country:US
Practice Address - Phone:908-277-8900
Practice Address - Fax:908-941-9423
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021468103TC0700X
CAPSY17444103TC0700X
NJ35SI00610900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical