DR. PAULA JEAN WILLIS (NPI# 1053561472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053561472 |
Entity Type | Individual |
Full Name | DR. PAULA JEAN WILLIS |
Credential | PH.D. |
Practice Address |
1920 N Burl Ave Clovis CA 93619-2865 |
Practice Telephone | 5592742475 |
Practice Fax Number | 5593251919 |
Mailing Telephone | 5592742475 |
Mailing Fax Number | 5593251919 |
Enumeration Date | 2008-09-22 |
Last Update Date | 2008-09-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16961 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609325166 | Paula Marie Willis | Licensed Practical Nurse | 651 Grays Hwy, Ridgeland, SC 29936-5488 | 2016-09-26 |
1013461177 | Paula Willis | Licensed Practical Nurse | 17 Somerset Rd N, Amityville, NY 11701-2035 | 2016-08-06 |
1467691402 | Paula Suzanne Willis | Physician Assistant | 14089 Abercorn St, Savannah, GA 31419-1966 | 2009-02-16 |
Street Address |
1920 N BURL AVE |
City | CLOVIS |
State | CA |
Zip Code | 93619-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
Find all providers in zip 93619 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
1093154163 | Stanley Frederick Littleworth | Psychologist | 4785 N Pinebury Way, Clovis, CA 93619-4626 | 2013-06-21 |
1275971665 | Kenneth John Carr | Psychologist | 641 N Fowler Ave, Apt #255, Clovis, CA 93611-6610 | 2013-06-07 |
1831452564 | Cara Jean Emes | Psychologist | 613 Harvard Ave, Suite 202, Clovis, CA 93612-1866 | 2012-06-18 |
1366672313 | Matthew Thomas Tatum | Psychologist | 2343 Deauville Cir, Clovis, CA 93619-4292 | 2009-07-23 |
1851441810 | Larry Samuel Moricca | Psychologist | 642 Pollasky Ave, #210, Clovis, CA 93612-1875 | 2007-01-11 |
1851451603 | Patricia Prater | Psychologist | 3128 Willow Ave Ste 102, Clovis, CA 93612-4746 | 2006-12-11 |
1245327626 | Alexia Baca Morgan | Psychologist | 106 Pollasky, A, Clovis, CA 93612 | 2006-10-06 |
1235225764 | Alexa Hilary Wasserman-toncheff | Psychologist | 3128 Willow, Suite 102, Clovis, CA 93612 | 2006-10-04 |
1215032784 | John Lester Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-09-13 |
Find all providers in CLOVIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.