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 1:3505 LAKE LYNDA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-8333
Mailing Address - Country:US
Mailing Address - Phone:407-243-8657
Mailing Address - Fax:407-264-8903
Practice Address - Street 1:3505 LAKE LYNDA DR STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-8333
Practice Address - Country:US
Practice Address - Phone:407-243-8657
Practice Address - Fax:407-264-8903
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60434542235Z00000X
PASL011462235Z00000X
FLSA23294235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist