Provider Demographics
NPI:1952355638
Name:SCHALOW, PAMELA A (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
Last Name:SCHALOW
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:PO BOX 11804
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-8004
Mailing Address - Country:US
Mailing Address - Phone:804-615-2222
Mailing Address - Fax:
Practice Address - Street 1:1805 MONUMENT AVE
Practice Address - Street 2:SUITE #307
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-7005
Practice Address - Country:US
Practice Address - Phone:804-615-2222
Practice Address - Fax:804-359-8988
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002777103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA245850OtherMHN
VA245850OtherTRICARE
VA104562OtherANTHEM BC/BS
VA391350OtherMAMSI PLANS
VA7610531OtherAETNA