Provider Demographics
NPI:1548413263
Name:PALEY, SHARI RENEE (MSED CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARI
Middle Name:RENEE
Last Name:PALEY
Suffix:
Gender:F
Credentials:MSED CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1468
Mailing Address - Country:US
Mailing Address - Phone:203-364-9270
Mailing Address - Fax:
Practice Address - Street 1:11 ROSE LN
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06482-1468
Practice Address - Country:US
Practice Address - Phone:203-364-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010543-1235Z00000X
CT003824235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist