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Provider Information for 1558579573


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Mrs. PAULA RENEE RUEHLING LPC


Other Names:  
Other Name: 
PAULA R. TYRAN LPC

Sex: Female

NPI: 1558579573
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1558579573
Enumeration Date2007-05-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1319 S ROGERS ST
POOLER, GA 31322-3325
United States

Phone: 912-661-1944 | Fax:
 
Primary Practice Address 340 EISENHOWER DR
SUITE 1470
SAVANNAH, GA 31406-1600
United States

Phone: 912-661-1944 | Fax:912-351-0690
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalGALPC0002532