Individual
MRS. PAMELA MICHELLE MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
375 HAZEL TREE LN, MOREHEAD, KY 40351-7737
(606) 780-9213
Mailing address
375 HAZEL TREE LN, MOREHEAD, KY 40351-7737
(606) 678-0921
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
03/31/2014
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