Provider Demographics
NPI:1689454480
Name:WARD, PAMELA Y (APCC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:Y
Last Name:WARD
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 ROCKHURST WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-4224
Mailing Address - Country:US
Mailing Address - Phone:916-458-0899
Mailing Address - Fax:
Practice Address - Street 1:11344 COLOMA RD STE 515
Practice Address - Street 2:
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-4462
Practice Address - Country:US
Practice Address - Phone:916-838-0926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health