Provider Demographics
NPI:1649336751
Name:HELMSTADTER, PAMELA C (MA)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:C
Last Name:HELMSTADTER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 PINE TREE SHR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:ME
Mailing Address - Zip Code:04694-6017
Mailing Address - Country:US
Mailing Address - Phone:207-454-0407
Mailing Address - Fax:
Practice Address - Street 1:26 PINE TREE SHR
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:ME
Practice Address - Zip Code:04694-6017
Practice Address - Country:US
Practice Address - Phone:207-454-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health