Individual
DR. PAMELA L EASTERBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
243 WOODROW WILSON AVE, FISHERSVILLE, VA 22939
(540) 332-7042
Mailing address
243 WOODROW WILSON AVE, FISHERSVILLE, VA 22939-1200
(540) 332-7042
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0803-000243
VA
103TS0200X
School Psychologist
0803-000243
VA
Other
Enumeration date
09/16/2013
Last updated
04/24/2014
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