Smith, Pamela Longfellow

Smith, Pamela Longfellow is an sole proprietor health care provider with primary practice located at 9501 Farrell Rd Ste Gc-11 , Fort Belvoir VA 22060-5901. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Pamela Longfellow can be contacted via phone (571) 970-2633.

Contact Information

Primary practice address
9501 Farrell Rd Ste Gc-11 Fort Belvoir VA 22060-5901
Phone: (571) 970-2633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003789 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1000392 District of Columbia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 962 Hawaii

Profile Details

NPI number 1053515361
LBN Legal business name Smith, Pamela Longfellow
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
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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