Provider Demographics
NPI:1154456937
Name:PASQUESI-NEMEC, PATRICIA LEE (SLP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:PASQUESI-NEMEC
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-2234
Mailing Address - Country:US
Mailing Address - Phone:309-833-5226
Mailing Address - Fax:309-833-3989
Practice Address - Street 1:336 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-2234
Practice Address - Country:US
Practice Address - Phone:309-833-5226
Practice Address - Fax:309-833-3989
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist