Provider Demographics
NPI:1093773723
Name:HIGHLEN, PAMELA SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SUE
Last Name:HIGHLEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W WILSON BRIDGE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2237
Mailing Address - Country:US
Mailing Address - Phone:614-436-6080
Mailing Address - Fax:
Practice Address - Street 1:450 W WILSON BRIDGE RD
Practice Address - Street 2:SUITE 350
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2237
Practice Address - Country:US
Practice Address - Phone:614-436-6080
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3451103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling