Provider Demographics
NPI:1124598941
Name:PACIER, CALLEN
Entity type:Individual
Prefix:
First Name:CALLEN
Middle Name:
Last Name:PACIER
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 1:170 FARNSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01468-1109
Mailing Address - Country:US
Mailing Address - Phone:978-235-4883
Mailing Address - Fax:
Practice Address - Street 1:170 FARNSWORTH RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01468-1304
Practice Address - Country:US
Practice Address - Phone:978-235-4883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator