| Doctor Name: | DR. PAMELA S DAVIS |
| NPI Number: | 1134248115 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, LPCS |
| License Number: | 4494 |
| Business Practice Address: | 29w445 Ray Ave West Chicago, IL - 601852008 |
| Business Phone Number: | 2396280981 |
| Business Fax Number: | |
| Mailing Address: | 29w445 Ray Ave, WEST CHICAGO |
| State: | IL |
| Postal Code: | 601852008 |
| Phone Number: | 2396280981 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 08/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4494 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |