Provider Demographics
NPI:1598379901
Name:HARTLEY, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 INAOKACHO
Mailing Address - Street 2:
Mailing Address - City:YOKOSUKA
Mailing Address - State:JAPAN
Mailing Address - Zip Code:2380002
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:82 INAOKACHO
Practice Address - Street 2:
Practice Address - City:YOKSUKA
Practice Address - State:KANAGAWA
Practice Address - Zip Code:2380002
Practice Address - Country:JP
Practice Address - Phone:080-243-5171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist