Individual
MS. PAMELA FORDHAM RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMFT
Contact information
Practice address
1502 HIGHWAY 54 WEST,, SUITE 505, DURHAM, NC 27707
(919) 641-8525
Mailing address
14 LURE CT, DURHAM, NC 27713-7901
(919) 484-2623
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
548
NC
163W00000X
Registered Nurse
54244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131AM
BLUE CROSS BLUE SHIELD
NC
Enumeration date
01/25/2007
Last updated
10/26/2011
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