| Doctor Name: | MRS. PAMELA ANN DAISEY |
| NPI Number: | 1881762631 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCMH |
| License Number: | PC-0000250 |
| Business Practice Address: | 12649 Dupont Blvd Ellendale, DE - 199413307 |
| Business Phone Number: | 3024221530 |
| Business Fax Number: | 3024222320 |
| Mailing Address: | 12649 Dupont Blvd, ELLENDALE |
| State: | DE |
| Postal Code: | 199413307 |
| Phone Number: | 3024221530 |
| Fax Number: | 3024222320 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC-0000250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |