Provider Demographics
NPI:1275849002
Name:WARMAN, PAMELA KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:KAY
Last Name:WARMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11501 LARKIN FORE WAY
Mailing Address - Street 2:UNIT 201
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3886
Mailing Address - Country:US
Mailing Address - Phone:502-762-4193
Mailing Address - Fax:
Practice Address - Street 1:11501 LARKIN FORE WAY
Practice Address - Street 2:UNIT 201
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3886
Practice Address - Country:US
Practice Address - Phone:502-762-4193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2737235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist