Provider Demographics
NPI:1962104612
Name:MCCLEARY, PAMELA JEAN (PMHNP)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JEAN
Last Name:MCCLEARY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:814-670-7950
Mailing Address - Fax:814-670-7951
Practice Address - Street 1:811 GRANDVIEW RD STE 100
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2077
Practice Address - Country:US
Practice Address - Phone:814-670-7950
Practice Address - Fax:814-670-7951
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027704363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health