Provider Demographics
NPI:1851869044
Name:NEIMETH, PAMELA (MSW)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:NEIMETH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:
Mailing Address - City:BEN LOMOND
Mailing Address - State:CA
Mailing Address - Zip Code:95005-0567
Mailing Address - Country:US
Mailing Address - Phone:845-399-8597
Mailing Address - Fax:
Practice Address - Street 1:1040 FANNING GRADE
Practice Address - Street 2:
Practice Address - City:BEN LOMOND
Practice Address - State:CA
Practice Address - Zip Code:95005-9222
Practice Address - Country:US
Practice Address - Phone:845-399-8597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator