Individual
PAMELA GAIL VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED.S., NCSP
Contact information
Practice address
2965 COLONNADE DR, SUITE 130, ROANOKE, VA 24018-3557
(540) 989-1703
Mailing address
2502 CAPISTRANO ST, BLACKSBURG, VA 24060-8217
(540) 239-7947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0803000119
VA
103TS0200X
School Psychologist
Primary
0803000119
VA
Other
Enumeration date
03/13/2007
Last updated
09/11/2025
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