Provider Demographics
NPI:1114127255
Name:CHAMBERS, PAMELA GRIMM (LPC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:GRIMM
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9614 E WINDROSE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4609
Mailing Address - Country:US
Mailing Address - Phone:480-703-0606
Mailing Address - Fax:480-203-2784
Practice Address - Street 1:11111 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6701
Practice Address - Country:US
Practice Address - Phone:480-619-4399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 10937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional