Provider Demographics
NPI:1063536860
Name:PACIOREK, CHRISTINA MARIA
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:PACIOREK
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 1:1139 WESTFIELD ST
Mailing Address - Street 2:#7
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-3843
Mailing Address - Country:US
Mailing Address - Phone:413-739-2047
Mailing Address - Fax:
Practice Address - Street 1:1139 WESTFIELD ST
Practice Address - Street 2:#7
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3843
Practice Address - Country:US
Practice Address - Phone:413-739-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist