Individual
PROF. PAMELA SUE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS AA AS IECE
Contact information
Practice address
98 ANDY'S XING, CHAVIES, KY 41727
(606) 435-0064
(606) 435-0064
Mailing address
98 ANDY'S XING, CHAVIES, KY 41727
(606) 435-0064
(606) 435-0064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
488
DEVELOPMENTAL INTERVENTIO
KY
Enumeration date
11/06/2006
Last updated
01/15/2019
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