Provider Demographics
NPI:1366829756
Name:HOW, PAMELA (LMHC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HOW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 RIDGE LN APT 306
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-4984
Mailing Address - Country:US
Mailing Address - Phone:413-687-3135
Mailing Address - Fax:
Practice Address - Street 1:249 RIDGE LN APT 306
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-4984
Practice Address - Country:US
Practice Address - Phone:617-918-7442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA11195101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health