Provider Demographics
NPI:1588159255
Name:PEARSON-WILLIAMS, PAMELA SUE (RD)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:SUE
Last Name:PEARSON-WILLIAMS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:PAM
Other - Middle Name:SUE
Other - Last Name:PEARSON-FRANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:18939 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:DE
Mailing Address - Zip Code:19960-2637
Mailing Address - Country:US
Mailing Address - Phone:609-602-9384
Mailing Address - Fax:
Practice Address - Street 1:21 W CLARKE AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1840
Practice Address - Country:US
Practice Address - Phone:302-430-5399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEDN-0000363133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered