Provider Demographics
NPI:1811104706
Name:KADEN, PAMELA (PSYD,)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:KADEN
Suffix:
Gender:F
Credentials:PSYD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3900
Mailing Address - Country:US
Mailing Address - Phone:312-744-0993
Mailing Address - Fax:312-744-7737
Practice Address - Street 1:333 S STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3900
Practice Address - Country:US
Practice Address - Phone:312-744-0993
Practice Address - Fax:312-744-7737
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-005697103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical