Individual
DR. PAMELA JEANNE SHIELDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
216 N 4TH ST, EMMAUS, PA 18049-2718
(610) 653-0353
Mailing address
4211 COTTONWOOD CT, ALLENTOWN, PA 18103-9205
(610) 653-0353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009302L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SH1725443
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/19/2006
Last updated
07/08/2007
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