Provider Demographics
NPI:1598328155
Name:SUPERIOR FORENSIC CONSULTING
Entity Type:Organization
Organization Name:SUPERIOR FORENSIC CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FORENSIC EXAMINER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-416-6222
Mailing Address - Street 1:PO BOX 3358
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-3358
Mailing Address - Country:US
Mailing Address - Phone:860-416-6222
Mailing Address - Fax:
Practice Address - Street 1:230 W SUPERIOR ST STE 459
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1916
Practice Address - Country:US
Practice Address - Phone:860-416-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-19
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty