1235668591 NPI number — MRS. PAULA RUEFLI-SPEARS LMHC, MFT

Table of content: MRS. PAULA RUEFLI-SPEARS LMHC, MFT (NPI 1235668591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235668591 NPI number — MRS. PAULA RUEFLI-SPEARS LMHC, MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUEFLI-SPEARS
Provider First Name:
PAULA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMHC, MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235668591
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5677 S TRANSIT ROAD
Provider Second Line Business Mailing Address:
PMB 311
Provider Business Mailing Address City Name:
LOCKPORT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14094
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-406-7473
Provider Business Mailing Address Fax Number:
716-221-2062

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4511 HARLEM ROAD
Provider Second Line Business Practice Location Address:
STE 17/19
Provider Business Practice Location Address City Name:
AMHURST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-406-7473
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/08/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  P01287 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com