Individual
PAM HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2204 KENTUCKY AVE, PADUCAH, KY 42003-3242
(270) 442-8785
Mailing address
2204 KENTUCKY AVE, PADUCAH, KY 42003-3242
(270) 442-8785
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
71
KY
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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