Organization
DR. PAMELA A. SCHALOW, LCP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A. SCHALOW PH.D. (LICENSED CLINICAL PSYCHOLOGIST)
(804) 615-2222
Entity
Organization
Contact information
Practice address
5610 GROVE AVE, RICHMOND, VA 23226-2102
(804) 615-2222
Mailing address
PO BOX 11804, RICHMOND, VA 23230-8004
(804) 615-2222
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002777
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010053510
—
VA
01
—
104562
ANTHEM
VA
01
—
1952355638
NPI FOR INDIVIDUAL PRACTITIONER
VA
01
—
245850
MHN/TRICARE
VA
01
—
391350
MAMSI/OPTIMUM CHOICE/ALLIANCE PPO HEALTH PLANS
VA
01
—
7610531
AETNA
VA
Enumeration date
12/03/2008
Last updated
12/03/2008
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