Provider Demographics
NPI:1790832764
Name:SCHIELE, PAMELA GALE (PSYD, LP)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:GALE
Last Name:SCHIELE
Suffix:
Gender:F
Credentials:PSYD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 W 77TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5013
Mailing Address - Country:US
Mailing Address - Phone:952-832-5244
Mailing Address - Fax:952-832-5297
Practice Address - Street 1:4530 W 77TH ST STE 200
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55435-5013
Practice Address - Country:US
Practice Address - Phone:952-832-5244
Practice Address - Fax:952-832-5297
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP4722103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP71705OtherHEALTH PARTNERS