| Pamela Anderson Lcsw Llc | |
|
2501 Blichman Ave Ste 117 Grand Junction CO 81505-1031 | |
| (970) 644-2950 | |
| Not Available |
| Full Name | Pamela Anderson Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2501 Blichman Ave Ste 117, Grand Junction, Colorado |
| Authorized Official Name and Position | Melenie Snyder (BILLING AGENT) |
| Authorized Official Contact | 9706284562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Anderson Lcsw Llc 383 Rosemary Way Grand Junction CO 81501-4452 Ph: (970) 644-2950 | Pamela Anderson Lcsw Llc 2501 Blichman Ave Ste 117 Grand Junction CO 81505-1031 Ph: (970) 644-2950 |
| NPI Number | 1396236246 |
|---|---|
| Provider Enumeration Date | 05/27/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 2062768880 |
|---|---|
| Medicare Enrollment ID | O20180710001796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396236246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00000661 (Colorado) | Primary |
| Provider Name | Pamela Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679075725 PECOS PAC ID: 3971859794 Enrollment ID: I20180710001944 |
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