Provider Demographics
NPI:1497906176
Name:PAIGE WESTERFIELD, PSYD, LLC
Entity type:Organization
Organization Name:PAIGE WESTERFIELD, PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-559-3946
Mailing Address - Street 1:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:CT
Mailing Address - Zip Code:06281-0433
Mailing Address - Country:US
Mailing Address - Phone:860-559-3946
Mailing Address - Fax:860-928-4599
Practice Address - Street 1:7 BEECHES LN
Practice Address - Street 2:SUITE 3
Practice Address - City:WOODSTOCK
Practice Address - State:CT
Practice Address - Zip Code:06281-3436
Practice Address - Country:US
Practice Address - Phone:860-559-3946
Practice Address - Fax:860-928-4599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002737103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty