Individual
MS. PAMELA ALICE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
1004 DOMINION WAY, SOUTH CHARLESTON, WV 25309-2406
(304) 744-7009
Mailing address
1004 DOMINION WAY, SOUTH CHARLESTON, WV 25309
(304) 744-7009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0260
WV
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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