Provider Demographics
NPI:1588057673
Name:ARNOLD, PAMELA (MA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:GAUGHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2663 RISING HILL DR
Mailing Address - Street 2:
Mailing Address - City:SAYLORSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18353-8662
Mailing Address - Country:US
Mailing Address - Phone:570-234-6541
Mailing Address - Fax:
Practice Address - Street 1:2663 RISING HILL DR
Practice Address - Street 2:
Practice Address - City:SAYLORSBURG
Practice Address - State:PA
Practice Address - Zip Code:18353-8662
Practice Address - Country:US
Practice Address - Phone:570-234-6541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-12
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst