Provider Demographics
NPI:1700542149
Name:VOEHRINGER, PAIGE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:
Last Name:VOEHRINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 N HOLLYWOOD WAY UNIT 7582
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91510-8101
Mailing Address - Country:US
Mailing Address - Phone:818-209-2241
Mailing Address - Fax:
Practice Address - Street 1:42 PATTON RD
Practice Address - Street 2:
Practice Address - City:DEVENS
Practice Address - State:MA
Practice Address - Zip Code:01434-3801
Practice Address - Country:US
Practice Address - Phone:978-796-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11638103TF0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic