Provider Demographics
NPI:1295937167
Name:DRURY, PAMELA (PHD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:DRURY
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 1:40 BURTON HILLS BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6199
Mailing Address - Country:US
Mailing Address - Phone:615-761-9925
Mailing Address - Fax:615-691-7975
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:116B, DVAMC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:919-416-5832
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist