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
Fax: (414) 771-9543
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790805885 NPPES
Wisconsin MEDICAID 39131900

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