Provider Demographics
NPI:1457688939
Name:BROWN, PAMELA D (BS)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S TULPEHOCKEN RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1028
Mailing Address - Country:US
Mailing Address - Phone:610-401-8286
Mailing Address - Fax:
Practice Address - Street 1:310 S TULPEHOCKEN RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1028
Practice Address - Country:US
Practice Address - Phone:610-401-8286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health