Pamela Marie Cole, PHD
Individual provider Active NPI Clinical Child & Adolescent Psychologist · University Park, PA
NPI 1144710039 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1144710039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- PS008922L (PA)
- Practice address
- 3Rd Floor, Moore Building
Penn State University
University Park, PA 16802 - Phone
- (814) 865-2191
- NPI assigned
- May 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS008922L | PA | MD | Clinical Child & Adolescent Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS008922L | PA | Yes |
Addresses
Primary practice location
3Rd Floor, Moore Building
Penn State University
University Park, PA 16802
Mailing address
3Rd Floor, Moore Building
Department of Psychology
University Park, PA 16802
Phone (814) 865-2191
Other providers in University Park, PA
- Sheila Cartwright
- Louis Georges Castonguay
- Nicole Chadwick
- Raymond J Champagne II
- Trinity Cleary
- Morgan Colpetzer
- Jennifer Murray Connell
- Theresa Conway
- Judith Ann Creuz
- Lesli Cuebas
All providers in University Park, PA · Clinical Child & Adolescent Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.