Individual
MS. PAMELA BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
901 W MEM DR, HOUGHTON, MI 49931-2475
(906) 482-9400
Mailing address
901 W MEM DR, HOUGHTON, MI 49931-2475
(906) 482-9400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007379
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301007379
PSYCHOLOGIST LIMITED LICENSE MASTERS
MI
Enumeration date
06/18/2010
Last updated
06/18/2010
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