Doctor Name: | REBECCA M PASILLAS |
NPI Number: | 1003119488 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 04874 |
Business Practice Address: | 4800 Alberta Ave El Paso, TX - 799052709 |
Business Phone Number: | 9155456832 |
Business Fax Number: | |
Mailing Address: | Po Box 9520, EL PASO |
State: | TX |
Postal Code: | 799959520 |
Phone Number: | 9155456832 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2010 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 04874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |