Pamela S Prestby is a Clinical in Wauwatosa, Wisconsin. Pamela S Prestby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Pamela S Prestby is 1790805885. The last update date is 2011-02-11.
Pamela S Prestby's current location address is 2600 N Mayfair Rd Ste 650, Wauwatosa, Wisconsin. You can contact this provider via phone number 4147719304 and fax number 4147719543. The mailing address for Pamela S Prestby is 2600 N Mayfair Rd Ste 650, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela S Prestby |
|---|---|
| Address | 2600 N Mayfair Rd Ste 650, Wauwatosa, Wisconsin |
| Phone Number | 4147719304 |
| Fax Number | 4147719543 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1790805885 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2011-02-11 |
Provider Mailing Address Detail
| Address | 2600 N Mayfair Rd Ste 650 |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532261322 |
| Phone Number | 4147719304 |
| Fax Number | 4147719543 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2250057 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39131900 | WI | -- |
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What is the unique identifier code issued to Pamela S Prestby by the Centers for Medicare & Medicaid Services?
The Pamela S Prestby has been assigned the NPI (National Provider Identifier) 1790805885. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pamela S Prestby is located?
The Pamela S Prestby is situated at the following address: 2600 N Mayfair Rd Ste 650, Wauwatosa, WI, 532261322.
What is Pamela S Prestby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pamela S Prestby is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790805885 to Pamela S Prestby?
The Pamela S Prestby received its 1790805885 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the Pamela S Prestby's details last updated?
The information pertaining to the Pamela S Prestby, including its address, specialty, and other details, was most recently updated on 2011-02-11.
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