Provider Demographics
NPI:1558645028
Name:PASQUARELLA, LOUISE A (LPCMH)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:A
Last Name:PASQUARELLA
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:LOU
Other - Middle Name:ANNE
Other - Last Name:PASQUARELLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCMH
Mailing Address - Street 1:2504 KINGMAN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3510
Mailing Address - Country:US
Mailing Address - Phone:302-545-0935
Mailing Address - Fax:
Practice Address - Street 1:2504 KINGMAN DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3510
Practice Address - Country:US
Practice Address - Phone:302-545-0935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000150101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health