Individual
MRS. PAMELA J WHITTACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
251 W PIEDMONT ST, KEYSER, WV 26726-2718
(304) 788-4216
Mailing address
15007 LAUREL RIDGE RD SW, CUMBERLAND, MD 21502-5822
(301) 729-2379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0212
WV
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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