Provider Demographics
NPI:1437927225
Name:PAGANO-STALZER, CHLOE CONCETTINA (PHD)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:CONCETTINA
Last Name:PAGANO-STALZER
Suffix:
Gender:F
Credentials:PHD
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 90527
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-0527
Mailing Address - Country:US
Mailing Address - Phone:646-522-7545
Mailing Address - Fax:
Practice Address - Street 1:185A QUINCY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-2065
Practice Address - Country:US
Practice Address - Phone:646-522-7545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39410103TC0700X
NY025982103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical