Provider Demographics
NPI:1518738566
Name:PASKINS, VAI LYDELL
Entity Type:Individual
Prefix:
First Name:VAI
Middle Name:LYDELL
Last Name:PASKINS
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 1:9309 STATE ROUTE 682 APT 208
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-8119
Mailing Address - Country:US
Mailing Address - Phone:740-249-5399
Mailing Address - Fax:
Practice Address - Street 1:9309 STATE ROUTE 682 APT 208
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-8119
Practice Address - Country:US
Practice Address - Phone:740-249-5399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker