Provider Demographics
NPI:1023221892
Name:WESTERFIELD, PAIGE (PSYD)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:WESTERFIELD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:860-928-4599
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:860-928-4599
Practice Address - Fax:860-928-4599
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002737103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060002737CT01OtherANTHEM BLUE CROSS