Provider Demographics
NPI:1114122744
Name:DEFINE, PAMELA ELIZABETH (MS, FAAA)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ELIZABETH
Last Name:DEFINE
Suffix:
Gender:F
Credentials:MS, FAAA
Other - Prefix:MS
Other - First Name:PAMELA
Other - Middle Name:ELIZABETH
Other - Last Name:KIRCHGESSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7701 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2536
Mailing Address - Country:US
Mailing Address - Phone:561-439-8821
Mailing Address - Fax:
Practice Address - Street 1:7701 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2536
Practice Address - Country:US
Practice Address - Phone:561-439-8821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1395231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist