Provider Demographics
NPI:1750410924
Name:FRUEH, PAULA ANN (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:ANN
Last Name:FRUEH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 DWIGHT PL APT A
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3668
Mailing Address - Country:US
Mailing Address - Phone:201-503-0959
Mailing Address - Fax:
Practice Address - Street 1:32-40 N DEAN ST STE C
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2815
Practice Address - Country:US
Practice Address - Phone:201-233-9802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052956001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical