Individual
MS. PAMELA D. WAMPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
815 MAIN ST, INDIANAPOLIS, IN 46220-1712
(317) 255-8973
(317) 202-0750
Mailing address
815 MAIN ST, INDIANAPOLIS, IN 46220-1712
(317) 255-8973
(317) 202-0750
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001469A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225471
ANTHEM PROVIDER ID
IN
Enumeration date
04/19/2007
Last updated
07/08/2007
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