Provider Demographics
NPI:1922321991
Name:SAWYER, PAMELA JEAN
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEAN
Last Name:SAWYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11504 MIDLOTHIAN TPKE
Mailing Address - Street 2:MIRACLE-EAR @ SEARS
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4746
Mailing Address - Country:US
Mailing Address - Phone:804-378-9957
Mailing Address - Fax:304-324-8308
Practice Address - Street 1:11504 MIDLOTHIAN TPKE
Practice Address - Street 2:MIRACLE-EAR @ SEARS
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4746
Practice Address - Country:US
Practice Address - Phone:804-378-9957
Practice Address - Fax:304-324-8308
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-05
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1457237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist