Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS004361L | PA |
Y | 103TC0700X | Clinical Psychologist | PS004361L | PA |
NPI | 1013087592 |
---|---|
Provider Name | Ms. Nancy J Pashchuk |
First Address | Lewisburg, PA 17837-1408 |
Second Address | Lewisburg, PA 17837-1408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |