Pamela M. Nilsson, Ph.d., Llc | |
23811 Chagrin Blvd Ste 248 Beachwood OH 44122-5560 | |
(216) 789-3878 | |
(216) 920-6288 |
Full Name | Pamela M. Nilsson, Ph.d., Llc |
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Speciality | Clinic/Center |
Location | 23811 Chagrin Blvd Ste 248, Beachwood, Ohio |
Authorized Official Name and Position | Pamela M. Nilsson (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2167893878 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pamela M. Nilsson, Ph.d., Llc 23811 Chagrin Blvd Ste 248 Beachwood OH 44122-5560 Ph: (216) 299-6843 | Pamela M. Nilsson, Ph.d., Llc 23811 Chagrin Blvd Ste 248 Beachwood OH 44122-5560 Ph: (216) 789-3878 |
NPI Number | 1447557954 |
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Provider Enumeration Date | 02/17/2011 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Medicare PECOS PAC ID | 6608260344 |
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Medicare Enrollment ID | O20220223002215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447557954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 6455 (Ohio) | Primary |
Provider Name | Pamela Nilsson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1396058327 PECOS PAC ID: 4183844327 Enrollment ID: I20141009002245 |
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