Provider Demographics
NPI:1942870639
Name:GARRIGA, PAOLA
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:
Last Name:GARRIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 GILLETT ST APT 111
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2622
Mailing Address - Country:US
Mailing Address - Phone:860-553-1121
Mailing Address - Fax:
Practice Address - Street 1:69 GILLETT ST APT 111
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2622
Practice Address - Country:US
Practice Address - Phone:860-553-1121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health