Hetherington, Pamela
Hetherington, Pamela is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hetherington, Pamela can be contacted via phone (203) 503-3250.Contact Information
Primary practice address
428 Columbus Ave
New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036588 | Connecticut |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036588 | Connecticut |
Profile Details
| NPI number | 1760457485 |
|---|---|
| LBN Legal business name | Hetherington, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760457485 | NPPES |
| Connecticut | MEDICAID | 004235918 |
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