Provider Demographics
NPI:1558573998
Name:PALEY, LOIS M (PHD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:M
Last Name:PALEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LOIS
Other - Middle Name:PALEY
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8 LOST MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-1128
Mailing Address - Country:US
Mailing Address - Phone:631-928-7060
Mailing Address - Fax:
Practice Address - Street 1:175 MAIN ST
Practice Address - Street 2:STE 4
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-2947
Practice Address - Country:US
Practice Address - Phone:631-928-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010237103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical