Prestby, Pamela S
Prestby, Pamela S is an individual health care provider with primary practice located at 2600 N Mayfair Rd Ste 650 , Wauwatosa WI 53226-1322. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Prestby, Pamela S can be contacted via phone (414) 771-9304.Contact Information
Primary practice address
2600 N Mayfair Rd Ste 650
Wauwatosa WI 53226-1322
Phone: (414) 771-9304
Fax: (414) 771-9543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2250057 | Wisconsin |
Profile Details
| NPI number | 1790805885 |
|---|---|
| LBN Legal business name | Prestby, Pamela S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Feb 11th, 2011 - about 13 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 | 1790805885 | NPPES |
| Wisconsin | MEDICAID | 39131900 |
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