Provider Demographics
NPI:1891784534
Name:LOW, PAMELA Y
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:Y
Last Name:LOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:R
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW,LCSW,LMFT
Mailing Address - Street 1:15 SPRINGDALE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7320
Mailing Address - Country:US
Mailing Address - Phone:914-472-9724
Mailing Address - Fax:
Practice Address - Street 1:15 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7320
Practice Address - Country:US
Practice Address - Phone:914-472-9724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0117581041C0700X
CT000573106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
V19731Medicare ID - Type Unspecified