Individual
MRS. PAMELA JOYCE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC, SP.
Contact information
Practice address
4824 HOMESTEAD RD, FORT WAYNE, IN 46814-5461
(260) 431-2040
Mailing address
4821 W HAMILTON RD S, FORT WAYNE, IN 46814-9414
(260) 625-4450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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