Devaney, Pamela Grace
Devaney, Pamela Grace is an individual health care provider with primary practice located at 63 Park St Suite 15, Andover MA 01810-3662. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Devaney, Pamela Grace can be contacted via phone (978) 474-5004.Contact Information
Primary practice address
63 Park St Suite 15
Andover MA 01810-3662
Phone: (978) 474-5004
Fax: (978) 474-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 7935 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7935 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 7935 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7935 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 7935 | Massachusetts |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 7935 | Massachusetts |
Profile Details
| NPI number | 1295771533 |
|---|---|
| LBN Legal business name | Devaney, Pamela Grace |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295771533 | NPPES |
| Massachusetts | MEDICAID | 0501221 | |
| Massachusetts | Other | W06131 |
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