Provider Demographics
NPI:1073623997
Name:PRATT, PAMELA H (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:H
Last Name:PRATT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1253
Mailing Address - Country:US
Mailing Address - Phone:203-709-8888
Mailing Address - Fax:203-709-7247
Practice Address - Street 1:100 JEFFERSON SQ
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1109
Practice Address - Country:US
Practice Address - Phone:203-709-3321
Practice Address - Fax:203-709-3335
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0044051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical