Provider Demographics
NPI:1831302157
Name:PERKINS, PAMELA C (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:C
Last Name:PERKINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 MARLTON PIKE E
Mailing Address - Street 2:M-69
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2150
Mailing Address - Country:US
Mailing Address - Phone:856-874-1084
Mailing Address - Fax:856-874-9801
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:M-69
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:856-874-1084
Practice Address - Fax:856-874-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI 02281103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical