National Provider Identifier
Pamela Johnson
Pamela Johnson is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 216-7412.
Profile Overview
- NPI
- 1235673559
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 05, 2016
- Last Updated
- December 05, 2016
Practice Location
- 405 Taughannock Blvd
- Ithaca, NY 14850-3232
Phone: (607) 216-7412
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1235673559
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Pamela
- Mailing Street Address
- 405 Taughannock Blvd
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3232
- Mailing Country
- US
- Mailing Phone
- (607) 216-7412
- Practice Street Address
- 405 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3232
- Practice Country
- US
- Practice Phone
- (607) 216-7412
- Enumeration Date
- December 05, 2016
- Last Updated
- December 05, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)