Provider Demographics
NPI:1598066912
Name:SIGDA, PAMELA DIANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DIANE
Last Name:SIGDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6277 NW 23RD RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4340
Mailing Address - Country:US
Mailing Address - Phone:561-706-2277
Mailing Address - Fax:561-451-9367
Practice Address - Street 1:298 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5916
Practice Address - Country:US
Practice Address - Phone:561-706-2277
Practice Address - Fax:561-451-9367
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6163101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health