Individual
MRS. PAMELA FAY HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TVI/COMS
Contact information
Practice address
1906 GOLDSMITH LN, LOUISVILLE, KY 40218-2066
(502) 498-2934
Mailing address
409 TOM TAYLOR RD, CORBIN, KY 40701-8876
(606) 521-2642
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000038777
KY
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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