Provider Demographics
NPI:1386853703
Name:SCALA, PAMELA (MSW LCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:SCALA
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 E WINGED FOOT ROAD
Mailing Address - Street 2:
Mailing Address - City:PHX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-548-0080
Mailing Address - Fax:
Practice Address - Street 1:1322 E WINGED FOOT RD
Practice Address - Street 2:
Practice Address - City:PHX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-548-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW04491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical