Provider Demographics
NPI:1679177703
Name:ASANTE, PAUL FRANK
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:FRANK
Last Name:ASANTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CREST CIR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-1522
Mailing Address - Country:US
Mailing Address - Phone:508-371-5506
Mailing Address - Fax:
Practice Address - Street 1:28 MILL STREET CENTRAL
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3169
Practice Address - Country:US
Practice Address - Phone:508-786-1580
Practice Address - Fax:508-628-6929
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical