# PAMALA D. MIZE, M.S. CCC-A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053504258
- **Authorized official:** MS. PAMALA DAWN MIZE M.S. (CLINICAL AUDIOLOGIST)
- **Authorized official phone:** (276) 620-3546

## Contact information

- **Practice address:** 105 WEST PINE ST, \#103, WYTHEVILLE, VA 24382-1954
- **Practice address phone:** (276) 620-3546
- **Practice address fax:** (276) 228-3546
- **Mailing address:** 195 W PINE ST, \#103, WYTHEVILLE, VA 24382-1954
- **Mailing address phone:** (276) 620-3546
- **Mailing address fax:** (276) 228-3546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000232 | VA | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 08/21/2007