Organization
DR. PAMELA A. SCHALOW, LCP, PLLC
Active
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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