Individual
DR. PAMELA A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 AVENUE D, SCOTTSBLUFF, NE 69361-4650
(308) 635-3171
Mailing address
325 E 38TH ST, SCOTTSBLUFF, NE 69361-4612
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
441
NE
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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