Provider Demographics
NPI:1992008957
Name:PASCHALL, MARCELLE L (DSC)
Entity type:Individual
Prefix:DR
First Name:MARCELLE
Middle Name:L
Last Name:PASCHALL
Suffix:
Gender:F
Credentials:DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-3018
Mailing Address - Country:US
Mailing Address - Phone:302-376-1768
Mailing Address - Fax:302-378-6196
Practice Address - Street 1:419 SOUTH ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-3018
Practice Address - Country:US
Practice Address - Phone:302-376-1768
Practice Address - Fax:302-378-6196
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELT0035647101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health