Provider Demographics
NPI:1396014122
Name:HOWARD, PAMELA CHRIS (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:CHRIS
Last Name:HOWARD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:CHRIS
Other - Last Name:WILBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:75 WILLETT ST
Mailing Address - Street 2:6A
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12210-1037
Mailing Address - Country:US
Mailing Address - Phone:518-728-4652
Mailing Address - Fax:877-728-1141
Practice Address - Street 1:75 WILLETT ST
Practice Address - Street 2:6A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12210-1037
Practice Address - Country:US
Practice Address - Phone:518-728-4652
Practice Address - Fax:877-728-1141
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011978-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist