Provider Demographics
NPI:1275643637
Name:ANDREWS, PAMELA BURNS (EDD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:BURNS
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:DEAN
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1308 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-9040
Mailing Address - Country:US
Mailing Address - Phone:502-633-1470
Mailing Address - Fax:
Practice Address - Street 1:543 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1119
Practice Address - Country:US
Practice Address - Phone:502-633-2025
Practice Address - Fax:502-633-3634
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1164103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling