Provider Demographics
NPI:1275925836
Name:DUMITRIU, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DUMITRIU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 TANAGER RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-6052
Mailing Address - Country:US
Mailing Address - Phone:510-566-3257
Mailing Address - Fax:
Practice Address - Street 1:555 PETERS AVE STE 110
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-6595
Practice Address - Country:US
Practice Address - Phone:925-337-9169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17999235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist