Anderson, Pamela

Anderson, Pamela is an sole proprietor health care provider with primary practice located at 5505 Creedmoor Rd Suite 100, Raleigh NC 27612-6333. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Anderson, Pamela can be contacted via phone (919) 852-5352.

Contact Information

Primary practice address
5505 Creedmoor Rd Suite 100 Raleigh NC 27612-6333
Fax: (919) 852-5323
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 992 North Carolina

Profile Details

NPI number 1831129576
LBN Legal business name Anderson, Pamela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831129576 NPPES
North Carolina MEDICAID 6105065

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