Basic Information
| Provider Information | |||||||||
| NPI: | 1194831859 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOCASCIO | ||||||||
| FirstName: | STACEY | ||||||||
| MiddleName: | ANNE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 424 OLD MILL RD | ||||||||
| Address2: | |||||||||
| City: | OSTERVILLE | ||||||||
| State: | MA | ||||||||
| PostalCode: | 026551463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087375041 | ||||||||
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| Practice Location | |||||||||
| Address1: | 572 MAIN STREET | ||||||||
| Address2: | PARE AND ASSOCIATES | ||||||||
| City: | WEST YARMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02673 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087750719 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.