Provider Demographics
NPI:1972544930
Name:TRIEF, PAULA (PHD)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:TRIEF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:HIMMELSBACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:750 E ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2306
Mailing Address - Country:US
Mailing Address - Phone:315-464-3120
Mailing Address - Fax:315-464-3163
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-3120
Practice Address - Fax:315-464-3163
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6162103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical