Provider Demographics
NPI:1306863048
Name:NEWTON, PAMELA SPRING (MA, LMHC, IAAP)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SPRING
Last Name:NEWTON
Suffix:
Gender:F
Credentials:MA, LMHC, IAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-2824
Mailing Address - Country:US
Mailing Address - Phone:617-469-4462
Mailing Address - Fax:617-469-4462
Practice Address - Street 1:73 MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-2824
Practice Address - Country:US
Practice Address - Phone:617-469-4462
Practice Address - Fax:617-469-4462
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health