Provider Demographics
NPI:1962548990
Name:BEVERLY J. PASCHAL, MA, MFT
Entity type:Organization
Organization Name:BEVERLY J. PASCHAL, MA, MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PASCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:775-827-0404
Mailing Address - Street 1:3670 GRANT DR
Mailing Address - Street 2:SUITE 103-A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5309
Mailing Address - Country:US
Mailing Address - Phone:775-827-0404
Mailing Address - Fax:775-827-0404
Practice Address - Street 1:3670 GRANT DR
Practice Address - Street 2:SUITE 103-A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5309
Practice Address - Country:US
Practice Address - Phone:775-827-0404
Practice Address - Fax:775-827-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0704322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children