Individual
PAULA WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
401 W ORANGEWOOD AVE APT E108, ANAHEIM, CA 92802-5256
(310) 525-8635
(310) 525-8635
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36027
CA
225400000X
Rehabilitation Practitioner
36027
CA
Other
Enumeration date
01/24/2013
Last updated
01/14/2026
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