Provider Demographics
NPI:1942369400
Name:PASCIUTI, FRANK MARC (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MARC
Last Name:PASCIUTI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:690 EXPLORERS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8440
Mailing Address - Country:US
Mailing Address - Phone:434-295-8373
Mailing Address - Fax:434-979-1123
Practice Address - Street 1:914 E HIGH ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4850
Practice Address - Country:US
Practice Address - Phone:434-979-5994
Practice Address - Fax:434-979-1123
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001176103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0810001176OtherSTATE LICENSE NUMBER