Individual
MRS. PAM D MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
2215 WOLFE RANCH RD, 41009 PARK DRIVE, COLUMBIA, TN 38401
(719) 660-2460
(719) 434-7308
Mailing address
4009 PARK DRIVE, COLUMBIA, TN 38401
(719) 660-2460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1213
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85909751
—
CO
Enumeration date
01/11/2007
Last updated
06/19/2023
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