Provider Demographics
NPI:1053518928
Name:FIRESTONE, PAULA BINA (PHD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:BINA
Last Name:FIRESTONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:FIRESTONE
Other - Last Name:SPIRO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11525 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4985
Mailing Address - Country:US
Mailing Address - Phone:562-904-7660
Mailing Address - Fax:562-904-7693
Practice Address - Street 1:11525 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4985
Practice Address - Country:US
Practice Address - Phone:562-904-7660
Practice Address - Fax:562-904-7693
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7580103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist