Hagues, Pamela Dickinson

Hagues, Pamela Dickinson is an individual health care provider with primary practice located at 825 Crawford Parkway The Pines Residential Treatment Center, Portsmouth VA 23704. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hagues, Pamela Dickinson can be contacted via phone (757) 393-0061.

Contact Information

Primary practice address
825 Crawford Parkway The Pines Residential Treatment Center Portsmouth VA 23704
Phone: (757) 393-0061
Fax: (757) 391-6560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003605 Virginia

Profile Details

NPI number 1912097320
LBN Legal business name Hagues, Pamela Dickinson
Credentials MS ED
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912097320 NPPES
Virginia MEDICAID 10079535

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