Provider Demographics
NPI:1629439831
Name:STOTT-JUNG, PAIGE VALEN (MS)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:VALEN
Last Name:STOTT-JUNG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 BROOKSIDE RD LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-9020
Mailing Address - Country:US
Mailing Address - Phone:610-569-0252
Mailing Address - Fax:
Practice Address - Street 1:1011 BROOKSIDE RD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9020
Practice Address - Country:US
Practice Address - Phone:610-569-0252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-15
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health