Provider Demographics
NPI:1619952322
Name:STEELE, PAMELA D (MS, LCGC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:D
Last Name:STEELE
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:D
Other - Last Name:GEHRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-2700
Mailing Address - Country:US
Mailing Address - Phone:570-214-9483
Mailing Address - Fax:570-214-6125
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-214-9483
Practice Address - Fax:570-214-6125
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000026170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS