Provider Demographics
NPI:1912088626
Name:PAUL, NANCY E (MFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:PAUL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 E MAIN STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-796-2928
Mailing Address - Fax:805-642-5900
Practice Address - Street 1:2590 E MAIN STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-796-2928
Practice Address - Fax:805-642-5900
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist