Individual
DR. PAMELA VETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1605 NW 16 AVE, GAINESVILLE, FL 32605
(352) 374-2022
Mailing address
PO BOX 12017, GAINESVILLE, FL 32604
(352) 374-2022
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103K00000X
Behavior Analyst
1-04-1704
FL
103TS0200X
School Psychologist
Primary
SS587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684339596
—
FL
Enumeration date
09/16/2009
Last updated
09/16/2009
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