Healthcare Provider Details

I. General information

NPI: 1811468838
Provider Name (Legal Business Name): PAIGE PALSGAARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date: 04/26/2022
Reactivation Date: 09/05/2023

III. Provider practice location address

9850 N 73RD ST APT 2028
SCOTTSDALE AZ
85258-1032
US

IV. Provider business mailing address

9850 N 73RD ST APT 2028
SCOTTSDALE AZ
85258-1032
US

V. Phone/Fax

Practice location:
  • Phone: 559-577-6112
  • Fax:
Mailing address:
  • Phone: 559-577-6112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24857
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: