Blake, Pamela A

Blake, Pamela A is an sole proprietor health care provider with primary practice located at 451 Montauk Hwy , East Moriches NY 11940-1357. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blake, Pamela A can be contacted via phone (631) 255-5481.

Contact Information

Primary practice address
451 Montauk Hwy East Moriches NY 11940-1357
Phone: (631) 255-5481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 018090 New York

Profile Details

NPI number 1215252630
LBN Legal business name Blake, Pamela A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2010
Last updated Mar 31st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers