Provider Demographics
NPI:1598913519
Name:ARBEITER, PAMELA MICHELE (COMS)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:MICHELE
Last Name:ARBEITER
Suffix:
Gender:F
Credentials:COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 DELWIN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2310
Mailing Address - Country:US
Mailing Address - Phone:573-335-6358
Mailing Address - Fax:573-335-6358
Practice Address - Street 1:1824 DELWIN ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-2310
Practice Address - Country:US
Practice Address - Phone:573-335-6358
Practice Address - Fax:573-335-6358
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0405127252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency