Provider Demographics
NPI:1235668591
Name:RUEFLI-SPEARS, PAULA (LMHC, MFT)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:RUEFLI-SPEARS
Suffix:
Gender:F
Credentials:LMHC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5677 S TRANSIT ROAD
Mailing Address - Street 2:PMB 311
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094
Mailing Address - Country:US
Mailing Address - Phone:716-406-7473
Mailing Address - Fax:716-221-2062
Practice Address - Street 1:4511 HARLEM ROAD
Practice Address - Street 2:STE 17/19
Practice Address - City:AMHURST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-406-7473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP01287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health