Provider Demographics
NPI:1194876607
Name:ABRAHAM, PAMELA PRESSLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:PRESSLEY
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 LEVERING MILL RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2726
Mailing Address - Country:US
Mailing Address - Phone:610-667-7755
Mailing Address - Fax:
Practice Address - Street 1:461 LEVERING MILL RD
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-2726
Practice Address - Country:US
Practice Address - Phone:610-667-7755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-003181-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist