Individual
PAMELA LOPEZ-ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
279 DALTON AVE, PITTSFIELD, MA 01201-3540
(413) 442-7337
(413) 447-3882
Mailing address
279 DALTON AVE, PITTSFIELD, MA 01201-3540
(413) 442-7337
(413) 447-3882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5271
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026771
BMC HEALTH NET
MA
01
—
5721
TUFTS
MA
01
—
SP0077
BLUE CROSS
MA
Enumeration date
10/12/2006
Last updated
07/08/2007
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