Provider Demographics
NPI:1780604629
Name:ZUFFANTE, PAULA (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:
Last Name:ZUFFANTE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PAULA
Other - Middle Name:ZUFFANTE
Other - Last Name:LABARGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:834 KENWOOD AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9601
Mailing Address - Country:US
Mailing Address - Phone:518-439-1641
Mailing Address - Fax:518-439-1625
Practice Address - Street 1:834 KENWOOD AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9601
Practice Address - Country:US
Practice Address - Phone:518-439-1641
Practice Address - Fax:518-439-1625
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013994103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist