Doctor Name: | MRS. PAMELA JANE ROOT-BAECHLE |
NPI Number: | 1114029568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW-002127-L |
Business Practice Address: | 511 Allegheny St Hollidaysburg, PA - 166482023 |
Business Phone Number: | 8146952776 |
Business Fax Number: | 8146939865 |
Mailing Address: | 408 Union St, HOLLIDAYSBURG |
State: | PA |
Postal Code: | 166481518 |
Phone Number: | 8146952776 |
Fax Number: | 8146939865 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CW-002127-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |