Doctor Name: | PAMELA MCLANE |
NPI Number: | 1194805218 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 111000 |
Business Practice Address: | 133 Falmouth Rd Suite F Mashpee, MA - 026492611 |
Business Phone Number: | 5084777499 |
Business Fax Number: | 5074772499 |
Mailing Address: | 133 Falmouth Rd, Suite F MASHPEE |
State: | MA |
Postal Code: | 026492611 |
Phone Number: | 5084777499 |
Fax Number: | 5084772499 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 111000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |