Provider Demographics
NPI:1881739522
Name:SPEARS, PAMELA DENISE (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:DENISE
Last Name:SPEARS
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 1:2020 NE 163 STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162
Mailing Address - Country:US
Mailing Address - Phone:305-949-1515
Mailing Address - Fax:305-949-1518
Practice Address - Street 1:2020 NE 163 STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162
Practice Address - Country:US
Practice Address - Phone:305-949-1515
Practice Address - Fax:305-949-1518
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health