| Doctor Name: | PASQUA MARIA MARONGIU |
| NPI Number: | 1154522464 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PY7776 |
| Business Practice Address: | 229 W General Screven Way Suite H Hinesville, GA - 313133054 |
| Business Phone Number: | 9124355213 |
| Business Fax Number: | 9124481002 |
| Mailing Address: | 1061 Harmon Avenue Suite 1d03, FORT STEWART |
| State: | GA |
| Postal Code: | 313145674 |
| Phone Number: | 9124355213 |
| Fax Number: | 9124481002 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY7776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |