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: |