Provider Demographics
NPI:1619375284
Name:TOTH, PAMELA (LSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:TOTH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 SUNNYVALE DR
Mailing Address - Street 2:
Mailing Address - City:PENNSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18073-1265
Mailing Address - Country:US
Mailing Address - Phone:201-317-7942
Mailing Address - Fax:
Practice Address - Street 1:119 N FURNACE ST
Practice Address - Street 2:
Practice Address - City:BIRDSBORO
Practice Address - State:PA
Practice Address - Zip Code:19508-2022
Practice Address - Country:US
Practice Address - Phone:610-575-0390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128890104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker