Provider Demographics
NPI:1780422154
Name:BINNER, PAULA SUE (LCSW)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:SUE
Last Name:BINNER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8620
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91109-8608
Mailing Address - Country:US
Mailing Address - Phone:646-941-7645
Mailing Address - Fax:929-596-7897
Practice Address - Street 1:HEADWAY CALIFORNIA BEHAVIORAL HEALTH SERVICES, P.C.
Practice Address - Street 2:680 E. COLORADO BLVD, # 180, 2ND FL
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-8608
Practice Address - Country:US
Practice Address - Phone:646-941-7645
Practice Address - Fax:929-596-7897
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS197171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical