Willis, Pamela Yvette
Willis, Pamela Yvette is an sole proprietor health care provider with primary practice located at 5310 Old Court Rd Ste. 308, Randallstown MD 21133-5243. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Willis, Pamela Yvette can be contacted via phone (443) 804-3707.Contact Information
Primary practice address
5310 Old Court Rd Ste. 308
Randallstown MD 21133-5243
Phone: (443) 804-3707
Fax: (410) 521-1944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09716 | Maryland |
Profile Details
| NPI number | 1750337721 |
|---|---|
| LBN Legal business name | Willis, Pamela Yvette |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Feb 2nd, 2010 - about 14 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 | 1750337721 | NPPES |
| Maryland | MEDICAID | 404403700 |
Popular Providers
-
Berman, Mandi G
3525 Resource Dr , Randallstown MD 21133-4733 -
Jangdharrie-Palmer, Rosalyn Savetri
8905 Middlebrook Ct , Randallstown MD 21133-4145 -
Saks-Martin, Arlene Joy
3703 Eastman Road , Randallstown MD 21133 -
Richards, Lynda M
3525 Resource Dr , Randallstown MD 21133-4733 -
Lewis, Rosetta
5310 Old Court Road Suite 105, Randallstown MD 21133 -
Parks, Judy Dianne
9012 Lesan Rd , Randallstown MD 21133-3622 -
Holcomb, Kingston Charles
3527 Rolling Road Suite 23, Randallstown MD 21244 -
Merchant, Sara C
3525 Resource Drive Room C47 , Randallstown MD 21133