Provider Demographics
NPI:1528121324
Name:PAHARIK, EMILY FRANCES (MA)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:FRANCES
Last Name:PAHARIK
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 1:27 DAVIDSON RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-1338
Mailing Address - Country:US
Mailing Address - Phone:508-852-2753
Mailing Address - Fax:
Practice Address - Street 1:61 BOYDEN RD
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-2542
Practice Address - Country:US
Practice Address - Phone:508-852-2753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health