Doctor Name: | DR. PAMELA ARLENE REED |
NPI Number: | 1619943925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD, HSPP |
License Number: | 39000453A |
Business Practice Address: | 13965 N State Road 67 Camby, IN - 461138354 |
Business Phone Number: | 3178312686 |
Business Fax Number: | 3178312669 |
Mailing Address: | 13965 N State Road 67, CAMBY |
State: | IN |
Postal Code: | 461138354 |
Phone Number: | 3178312686 |
Fax Number: | 3178312669 |
NPI Enumeration Date: | 02/27/2006 |
NPI Last Update Date: | 04/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 39000453A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |