Provider Demographics
NPI:1386946911
Name:DEAN, PAMELA M (PHD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:M
Last Name:DEAN
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:VA PUGET SOUND HEALTHCARE SYSTEM, SEATTLE DIVISION
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-277-1265
Mailing Address - Fax:206-764-2293
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:VA PUGET SOUND HEALTHCARE SYSTEM, SEATTLE DIVISION
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-277-1265
Practice Address - Fax:206-764-2293
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2015-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNLP5517103G00000X
WV91411103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist