Provider Demographics
NPI:1477911451
Name:CORRIGAN, PAMELA GRAY (MA)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:GRAY
Last Name:CORRIGAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:GRAY
Other - Last Name:SWITZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31 TORREY RD
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1137
Mailing Address - Country:US
Mailing Address - Phone:440-465-6936
Mailing Address - Fax:
Practice Address - Street 1:470 MAIN ST
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2047
Practice Address - Country:US
Practice Address - Phone:508-760-1475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health