Provider Demographics
NPI:1457573131
Name:PAIGHT, JOSEPH STERLING (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STERLING
Last Name:PAIGHT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 FONTAINEBLEAU DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-7493
Mailing Address - Country:US
Mailing Address - Phone:813-243-9184
Mailing Address - Fax:
Practice Address - Street 1:3907 FONTAINEBLEAU DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-7493
Practice Address - Country:US
Practice Address - Phone:813-927-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7416103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical