Individual
DR. PAMELA JOAN KNEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
388
NH
103TC0700X
Clinical Psychologist
587
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0608036YONH01
ANTHEM
NH
Enumeration date
02/27/2007
Last updated
02/23/2016
Update your record
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