Provider Demographics
NPI:1801416516
Name:SHROYER, PASCUALA (MS)
Entity Type:Individual
Prefix:MS
First Name:PASCUALA
Middle Name:
Last Name:SHROYER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:PAZ
Other - Middle Name:
Other - Last Name:SHROYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:33 S DELAWARE AVE STE 101B
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1524
Mailing Address - Country:US
Mailing Address - Phone:215-500-9165
Mailing Address - Fax:
Practice Address - Street 1:33 S DELAWARE AVE STE 101B
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-1524
Practice Address - Country:US
Practice Address - Phone:215-500-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program