Provider Demographics
NPI:1154534576
Name:DARLING, PAULA L (MFT)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:L
Last Name:DARLING
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 1:1664 SOLANO AVE.
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2118
Mailing Address - Country:US
Mailing Address - Phone:510-525-5663
Mailing Address - Fax:510-524-1603
Practice Address - Street 1:1664 SOLANO AVE.
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94707-2118
Practice Address - Country:US
Practice Address - Phone:510-525-5663
Practice Address - Fax:510-524-1603
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT16812106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT168120-1OtherBLUE SHEILD/BLUE CROSS OF CALIFORNIA