Individual
PAMELA LYNN JUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6804 CECELIA DR, SUITE 201, NEW PORT RICHEY, FL 34653-4935
(727) 232-0644
(888) 546-0488
Mailing address
PO BOX 827, KATHLEEN, FL 33849-0827
(317) 490-7994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20040733A
IN
103TC0700X
Clinical Psychologist
Primary
PY 9551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218080
—
IN
01
—
PY9551
FL STATE LICENSE
FL
Enumeration date
12/02/2005
Last updated
10/05/2017
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