| Doctor Name: | MRS. PAMELAKAY LIGHTLE |
| NPI Number: | 1114116100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSE, PLPC |
| License Number: | 2006025673 |
| Business Practice Address: | 8965 Highway 36 Suite F Hannibal, MO - 634016739 |
| Business Phone Number: | 5732217027 |
| Business Fax Number: | 5732217028 |
| Mailing Address: | 428 S 36th St, QUINCY |
| State: | IL |
| Postal Code: | 623015924 |
| Phone Number: | 2172246300 |
| Fax Number: | 2172244329 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2006025673 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |