Provider Demographics
NPI:1285062653
Name:DIPAOLA, PAULA (LMHC)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:DIPAOLA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGGINS ST APT 101
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-4007
Mailing Address - Country:US
Mailing Address - Phone:401-339-5561
Mailing Address - Fax:
Practice Address - Street 1:25 HIGGINS ST APT 101
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02917-4007
Practice Address - Country:US
Practice Address - Phone:401-339-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI000962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health