Provider Demographics
NPI:1730435868
Name:CARDALEEN, PAULA ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:ANNE
Last Name:CARDALEEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 FLAX POND RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-2133
Mailing Address - Country:US
Mailing Address - Phone:508-896-9700
Mailing Address - Fax:508-896-8706
Practice Address - Street 1:456 FLAX POND RD
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:MA
Practice Address - Zip Code:02631-2133
Practice Address - Country:US
Practice Address - Phone:508-896-9700
Practice Address - Fax:508-896-8706
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
MALMHC7279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional