Provider Demographics
NPI:1528304615
Name:HARRIS, PAMELA ANNE (NCC, LPC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:ANNE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:ANNE
Other - Last Name:MASTERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5743 BARTLETT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1515
Mailing Address - Country:US
Mailing Address - Phone:412-586-3724
Mailing Address - Fax:
Practice Address - Street 1:5743 BARTLETT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1515
Practice Address - Country:US
Practice Address - Phone:412-586-3724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional