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Individual

MS. PAMELA S HOSTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
600 N. HOLTZCLAW - SUITE 200, CHATTANOOGA, TN 37404-1240
(423) 622-6900
(423) 622-4834
Mailing address
600 N. HOLTZCLAW - SUITE 200, CHATTANOOGA, TN 37404-1240
(423) 622-6900
(423) 622-4834

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0667
TN
235Z00000X
Speech-Language Pathologist
1410
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3063447
BCBST
TN
05
3063447
TN
01
4640001
UNITEDHEALTHCARE
TN
Enumeration date
07/31/2006
Last updated
07/09/2007
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