Provider Demographics
NPI:1881378388
Name:MURANO, PAULA (LADC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:MURANO
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PINEVIEW DR UNIT 15D
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2432
Mailing Address - Country:US
Mailing Address - Phone:203-584-8145
Mailing Address - Fax:
Practice Address - Street 1:54 E RAMSDELL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1140
Practice Address - Country:US
Practice Address - Phone:203-781-4600
Practice Address - Fax:203-781-4600
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1500101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008120732Medicaid
CT008024427Medicaid
CT008023170Medicaid
CT008109605Medicaid
CT008042339Medicaid