Individual
PAMELA THIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
16149 STATE RT. 104, ROSS CORRECTIONAL INSTITUTION, CHILLICOTHE, OH 45601
(740) 774-7050
Mailing address
16149 STATE RT. 104, ROSS CORRECTIONAL INSTITUTION, CHILLICOTHE, OH 45601
(740) 774-7050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6766
OH
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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