Jack Philip Pascoe PSY.D.

NPI 1386816452 - Psychologist - 103TC0700X

NPI Details
NPI 1386816452
Gender Male
Enumeration Date 03/29/2008
Last Updated 03/29/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
GRASS VALLEY CA, 95945-9679, US
Phone (530) 320-2119
Fax (530) 477-2435
Business Location
PO BOX 614
CEDAR RIDGE CA, 95924-0614, US
Phone (530) 320-2119
Fax (530) 477-2435
Taxonomy Code 103TC0700X
License State California
License Number PSY6959
Remove 1386816452 NPI Number

According to our database, Mr. Jack Philip Pascoe PSY.D. NPI is 1386816452, taxonomy code is 103TC0700X and license number is PSY6959, license state is located at California. Jack Philip Pascoe PSY.D. physically located at 14137 Dalmatian Dr, Grass Valley CA, 95945-9679. NPI Number Jack Philip Pascoe PSY.D. has the Individual type.

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1386816452 NPI number is provided on an as is basis without warranty of any kind. 1386816452 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Philip Pascoe PSY.D. are for informational purposes only.