Provider Demographics
NPI:1023368826
Name:PASALIS, DINA
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:PASALIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 MASSACHUSETTS AVE
Mailing Address - Street 2:8
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3828
Mailing Address - Country:US
Mailing Address - Phone:617-475-0506
Mailing Address - Fax:
Practice Address - Street 1:1208 MASSACHUSETTS AVE
Practice Address - Street 2:8
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3828
Practice Address - Country:US
Practice Address - Phone:617-475-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical