Provider Demographics
NPI:1851507057
Name:PLANT, PAMELA SWIBEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:SWIBEL
Last Name:PLANT
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 1:2545 E 3210 S
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-2700
Mailing Address - Country:US
Mailing Address - Phone:801-466-5527
Mailing Address - Fax:
Practice Address - Street 1:1399 S 700 E
Practice Address - Street 2:SUITE 7
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-2149
Practice Address - Country:US
Practice Address - Phone:801-261-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT375863-2501103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool