Provider Demographics
NPI:1750514139
Name:OSHEA, PAIGE (LMFT)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:OSHEA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 W DRY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-5209
Mailing Address - Country:US
Mailing Address - Phone:805-469-2459
Mailing Address - Fax:
Practice Address - Street 1:832 W DRY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-5209
Practice Address - Country:US
Practice Address - Phone:805-469-2459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-697-0106H00000X
CA115391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA174400000XOtherOTHER