Doctor Name: | PAMELA MARIE GAY |
NPI Number: | 1013950187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 003378 |
Business Practice Address: | 587 Middle Tpke E Manchester, CT - 060403731 |
Business Phone Number: | 8606463888 |
Business Fax Number: | 8606454132 |
Mailing Address: | Po Box 343, WINDHAM |
State: | CT |
Postal Code: | 062800343 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 003378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |