Provider Demographics
NPI:1578614681
Name:PALEY, SHARON G (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:G
Last Name:PALEY
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 1:75 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2509
Mailing Address - Country:US
Mailing Address - Phone:203-389-2385
Mailing Address - Fax:203-389-2533
Practice Address - Street 1:75 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2509
Practice Address - Country:US
Practice Address - Phone:203-389-2385
Practice Address - Fax:203-389-2533
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001344103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical