Provider Demographics
NPI:1093991895
Name:STEIN, PAULA NANCY (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:NANCY
Last Name:STEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1064 MAIN STREET
Mailing Address - Street 2:FISHKILL CONSULTATION GROUP
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524
Mailing Address - Country:US
Mailing Address - Phone:845-896-6751
Mailing Address - Fax:845-227-2524
Practice Address - Street 1:1064 MAIN STREET
Practice Address - Street 2:FISHKILL CONSULTATION GROUP
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524
Practice Address - Country:US
Practice Address - Phone:845-896-6751
Practice Address - Fax:845-227-2524
Is Sole Proprietor?:No
Enumeration Date:2008-01-11
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010262 1103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV70841Medicare UPIN