Provider Demographics
NPI:1194831859
Name:LOCASCIO, STACEY ANNE
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:ANNE
Last Name:LOCASCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 OLD MILL RD
Mailing Address - Street 2:
Mailing Address - City:OSTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02655-1463
Mailing Address - Country:US
Mailing Address - Phone:508-737-5041
Mailing Address - Fax:
Practice Address - Street 1:572 MAIN STREET
Practice Address - Street 2:PARE AND ASSOCIATES
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673
Practice Address - Country:US
Practice Address - Phone:508-775-0719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health