Provider Demographics
NPI:1366613606
Name:SKIFF, PAMELA (MA CCC SLP)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:SKIFF
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14303 OLD LAKE DR SW
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-5834
Mailing Address - Country:US
Mailing Address - Phone:301-729-0345
Mailing Address - Fax:
Practice Address - Street 1:111 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-1522
Practice Address - Country:US
Practice Address - Phone:304-822-3528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP 1052235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist