Provider Demographics
NPI:1144481524
Name:WHITMAN, PAULA LYNN (PSYD, LLP)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:LYNN
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:PSYD, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ISLAND ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-2435
Mailing Address - Country:US
Mailing Address - Phone:734-384-8922
Mailing Address - Fax:734-384-8922
Practice Address - Street 1:1 ISLAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-2435
Practice Address - Country:US
Practice Address - Phone:734-384-8922
Practice Address - Fax:734-384-8922
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011170103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical