Provider Demographics
NPI:1265433221
Name:CAIN, PAMELA BETH (AUD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:BETH
Last Name:CAIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:CAIN
Other - Last Name:MACLEOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2300 M ST NW FL 4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1434
Mailing Address - Country:US
Mailing Address - Phone:202-741-3470
Mailing Address - Fax:
Practice Address - Street 1:2300 M ST NW FL 4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1434
Practice Address - Country:US
Practice Address - Phone:202-741-3470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000437231H00000X
DCAUD000106231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist