Healthcare Provider Details

I. General information

NPI: 1821906405
Provider Name (Legal Business Name): MR. DAVID RAYMOND PASCO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 BOSTON POST RD W STE 420
MARLBOROUGH MA
01752-1853
US

IV. Provider business mailing address

33 BOSTON POST RD W STE 420
MARLBOROUGH MA
01752-1853
US

V. Phone/Fax

Practice location:
  • Phone: 508-824-3673
  • Fax:
Mailing address:
  • Phone: 508-824-3673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: