Provider Demographics
NPI:1346418050
Name:MEEK, PAMELA PHELAN (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:PHELAN
Last Name:MEEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2101
Mailing Address - Country:US
Mailing Address - Phone:301-412-2830
Mailing Address - Fax:301-424-0683
Practice Address - Street 1:4300 EAST WEST HIGHWAY
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4433
Practice Address - Country:US
Practice Address - Phone:301-412-2830
Practice Address - Fax:301-424-0683
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1350103T00000X, 103TC2200X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities