Provider Demographics
NPI:1811064108
Name:GEFELL, PAMELA SUSAN (MA,LMHC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SUSAN
Last Name:GEFELL
Suffix:
Gender:F
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ELBA
Mailing Address - State:NY
Mailing Address - Zip Code:14058-9726
Mailing Address - Country:US
Mailing Address - Phone:585-757-9964
Mailing Address - Fax:
Practice Address - Street 1:5130 E MAIN STREET RD
Practice Address - Street 2:SUITE #2
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-3433
Practice Address - Country:US
Practice Address - Phone:585-344-1421
Practice Address - Fax:585-344-3047
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001266101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health