Provider Demographics
NPI:1154118057
Name:CROUSE, PAULA R
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:R
Last Name:CROUSE
Suffix:
Gender:
Credentials:
Other - Prefix:MS
Other - First Name:JESSYCA
Other - Middle Name:
Other - Last Name:CROUSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:348 MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:SWANZEY
Mailing Address - State:NH
Mailing Address - Zip Code:03446-3500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:348 MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:SWANZEY
Practice Address - State:NH
Practice Address - Zip Code:03446-3500
Practice Address - Country:US
Practice Address - Phone:877-615-6131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician