Provider Demographics
NPI:1003135807
Name:CHAFFEE, PAMELA
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:CHAFFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9980 BOWMAN AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1060
Mailing Address - Country:US
Mailing Address - Phone:850-418-4448
Mailing Address - Fax:
Practice Address - Street 1:9980 BOWMAN AVE
Practice Address - Street 2:UNIT C
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32534-1060
Practice Address - Country:US
Practice Address - Phone:850-418-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker