| Doctor Name: | MICHAEL A. PAIGE |
| NPI Number: | 1457626483 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ME.D |
| License Number: | |
| Business Practice Address: | 11835 Hazel Circle Dr Bristow, VA - 201362180 |
| Business Phone Number: | 7036599876 |
| Business Fax Number: | |
| Mailing Address: | 11835 Hazel Circle Dr, BRISTOW |
| State: | VA |
| Postal Code: | 201362180 |
| Phone Number: | 7036599876 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2012 |
| NPI Last Update Date: | 03/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |