Provider Demographics
NPI:1659438398
Name:ASSOCIATES CLINICIANS OF VIRGINIA INC.
Entity Type:Organization
Organization Name:ASSOCIATES CLINICIANS OF VIRGINIA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:M
Authorized Official - Last Name:PASCIUTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-979-5994
Mailing Address - Street 1:918 91/2 STREET
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902
Mailing Address - Country:US
Mailing Address - Phone:434-979-5994
Mailing Address - Fax:434-979-3438
Practice Address - Street 1:918 91/2 STREET
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902
Practice Address - Country:US
Practice Address - Phone:434-979-5994
Practice Address - Fax:434-979-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001176103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty