Provider Demographics
NPI:1366151557
Name:ADAME, PAMELA LEIGH (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LEIGH
Last Name:ADAME
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22811 STRATFORD HOUSE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3561
Mailing Address - Country:US
Mailing Address - Phone:832-482-7310
Mailing Address - Fax:
Practice Address - Street 1:21720 KINGSLAND BLVD STE 120
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2551
Practice Address - Country:US
Practice Address - Phone:281-579-5708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist