| Doctor Name: | MS. PAMELA ANN DENEWETH |
| NPI Number: | 1477676344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LLP |
| License Number: | 6301011668 |
| Business Practice Address: | 9110 Twin Lakes Dr White Lake, MI - 483862099 |
| Business Phone Number: | 2489378682 |
| Business Fax Number: | |
| Mailing Address: | 9110 Twin Lakes Dr, WHITE LAKE |
| State: | MI |
| Postal Code: | 483862099 |
| Phone Number: | 2489378682 |
| Fax Number: | |
| NPI Enumeration Date: | 04/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301011668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |