Doctor Name: | MRS. PAMELA J WHITTACRE |
NPI Number: | 1275706632 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | SLP-0212 |
Business Practice Address: | 251 W Piedmont St Keyser, WV - 267262718 |
Business Phone Number: | 3047884216 |
Business Fax Number: | |
Mailing Address: | 15007 Laurel Ridge Rd Sw, CUMBERLAND |
State: | MD |
Postal Code: | 215025822 |
Phone Number: | 3017292379 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-0212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |