Provider Demographics
NPI:1154576908
Name:SYKES, PAULA (MS)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:SYKES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 OUTER RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65711-2516
Mailing Address - Country:US
Mailing Address - Phone:417-926-1500
Mailing Address - Fax:417-926-1538
Practice Address - Street 1:8401 OUTER RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN GROVE
Practice Address - State:MO
Practice Address - Zip Code:65711-2516
Practice Address - Country:US
Practice Address - Phone:417-926-1500
Practice Address - Fax:417-926-1538
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)