Pamela Nicholson, is a
Developmental Therapist based in Fairfield, California. Pamela Nicholson is licensed to practice in * (Not Available) (license number ) and her current practice location is
490 Chadbourne Rd, Suite A, Fairfield, California. She can be reached at her office (for appointments etc.) via phone at
(707) 422-0464.
NPI number for Pamela Nicholson is 1639376940 and her current mailing address is Po Box 304, Fairfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639376940.
Healthcare Provider's Profile
| Full Name | Pamela Nicholson |
|---|
| Gender | Female |
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| Speciality | Developmental Therapist |
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| Location | 490 Chadbourne Rd, Fairfield, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639376940
- Provider Enumeration Date: 06/29/2007
- Last Update Date: 11/08/2010
Medical Identifiers
Medical identifiers for Pamela Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639376940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pamela Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pamela Nicholson,
Po Box 304,
Fairfield, CA 94533-0030
Ph: (707) 422-0464 | Pamela Nicholson,
490 Chadbourne Rd, Suite A,
Fairfield, CA 94534-9613
Ph: (707) 422-0464 |
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