Healthcare Provider Details

I. General information

NPI: 1689796021
Provider Name (Legal Business Name): VERA MULLER-PAISNER PSYCHOANALYST, CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 BREEZY HILL RD
STAMFORD CT
06903-1230
US

IV. Provider business mailing address

163 BREEZY HILL RD
STAMFORD CT
06903-1230
US

V. Phone/Fax

Practice location:
  • Phone: 203-461-9437
  • Fax: 203-461-9437
Mailing address:
  • Phone: 203-461-9437
  • Fax: 203-461-9437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000557
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number003216
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: