Provider Demographics
NPI:1942404124
Name:PASIALI, VARVARA (PHD, MT-BC)
Entity Type:Individual
Prefix:DR
First Name:VARVARA
Middle Name:
Last Name:PASIALI
Suffix:
Gender:F
Credentials:PHD, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 SELWYN AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28274-0001
Mailing Address - Country:US
Mailing Address - Phone:704-688-2720
Mailing Address - Fax:
Practice Address - Street 1:1900 SELWYN AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28274-1120
Practice Address - Country:US
Practice Address - Phone:704-688-2720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000523225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist