Doctor Name: | MS. PAMELA G MCCLOSKEY |
NPI Number: | 1982678926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M ED |
License Number: | PS004699L |
Business Practice Address: | 205 Mill St Milesburg, PA - 16853 |
Business Phone Number: | 8143572400 |
Business Fax Number: | 8143577740 |
Mailing Address: | Po Box 8988, 205 Mill St MILESBURG |
State: | PA |
Postal Code: | 16853 |
Phone Number: | 8143572400 |
Fax Number: | 8143577740 |
NPI Enumeration Date: | 02/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | PS004699L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |