| Doctor Name: | DR. GINA M. PASQUALE |
| NPI Number: | 1063554087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 1190 |
| Business Practice Address: | 19 Federal St Keene, NH - 034313632 |
| Business Phone Number: | 6033552244 |
| Business Fax Number: | 6039242240 |
| Mailing Address: | 19 Federal St, KEENE |
| State: | NH |
| Postal Code: | 034313632 |
| Phone Number: | 6033552244 |
| Fax Number: | 6039242240 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |