Provider Demographics
NPI:1467898890
Name:YOUNG, PAMELA L (BS)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:L
Last Name:YOUNG
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 1:7 BAKER RD
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2562
Mailing Address - Country:US
Mailing Address - Phone:508-295-6467
Mailing Address - Fax:
Practice Address - Street 1:7 BAKER RD
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2562
Practice Address - Country:US
Practice Address - Phone:508-295-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker