Provider Demographics
NPI:1467699173
Name:MCCAMBRIDGE, PAMELA J (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:J
Last Name:MCCAMBRIDGE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1336 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1608
Mailing Address - Country:US
Mailing Address - Phone:847-471-1256
Mailing Address - Fax:847-342-0378
Practice Address - Street 1:3800 N WILKE RD
Practice Address - Street 2:SUITE 160
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1278
Practice Address - Country:US
Practice Address - Phone:847-471-1256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000744106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist