Individual
PAMELA F. HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6308 W CAMPBELL AVE, PHOENIX, AZ 85033-2731
(623) 691-4918
(623) 691-4920
Mailing address
4330 E CORRAL RD, PHOENIX, AZ 85044-5577
(623) 691-4918
(623) 691-4920
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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