Individual
PROF. PAMALA DAWN MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
360 VIRGINIA AVE, WYTHEVILLE, VA 24382-1185
(276) 620-3546
(276) 228-3546
Mailing address
195 W PINE ST, # 103, WYTHEVILLE, VA 24382-1954
(276) 620-3546
(276) 228-3546
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000232
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518125
FUNDS (UMWA) AUDIOLOGY
VA
01
—
171991
ANTHEM BCBS AUDIOLOGY
VA
05
—
9450688
—
VA
Enumeration date
02/19/2007
Last updated
10/15/2007
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