Provider Demographics
NPI:1700313244
Name:PASCHAL, BEVERLY JEAN (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:JEAN
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3670 GRANT DR STE 103A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5300
Mailing Address - Country:US
Mailing Address - Phone:775-827-0404
Mailing Address - Fax:775-827-0404
Practice Address - Street 1:3670 GRANT DR STE 103A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5300
Practice Address - Country:US
Practice Address - Phone:775-827-0404
Practice Address - Fax:775-827-0404
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0705106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist