Provider Demographics
NPI:1952723728
Name:INSERRA, PAMELA CAYE (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:CAYE
Last Name:INSERRA
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32670 STUART AVE SE
Mailing Address - Street 2:
Mailing Address - City:BLACK DIAMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98010-5037
Mailing Address - Country:US
Mailing Address - Phone:425-390-4661
Mailing Address - Fax:
Practice Address - Street 1:32670 STUART AVE SE
Practice Address - Street 2:
Practice Address - City:BLACK DIAMOND
Practice Address - State:WA
Practice Address - Zip Code:98010-5037
Practice Address - Country:US
Practice Address - Phone:954-483-3398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011462235Z00000X
WALL60434542235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist