Provider Demographics
NPI:1194995456
Name:WEEG, PAMELA ANN PATEY (LCPC, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ANN PATEY
Last Name:WEEG
Suffix:
Gender:F
Credentials:LCPC, PMHNP-BC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:PATEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:711 BURNING TREE CIR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7001
Mailing Address - Country:US
Mailing Address - Phone:410-920-9080
Mailing Address - Fax:410-630-1654
Practice Address - Street 1:1411 WESLEY DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7149
Practice Address - Country:US
Practice Address - Phone:410-642-4011
Practice Address - Fax:410-630-1654
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3341101YP2500X
MDR252166363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
211833Medicare Oscar/Certification
MD119591300Medicaid