Provider Demographics
NPI:1013087592
Name:PASHCHUK, NANCY J (MA)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:PASHCHUK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 N FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-1408
Mailing Address - Country:US
Mailing Address - Phone:570-524-2877
Mailing Address - Fax:
Practice Address - Street 1:32 N FIFTH ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1408
Practice Address - Country:US
Practice Address - Phone:570-524-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004361L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical