Pamela Marie Fullerton, M.ED.
Individual provider Active NPI Professional Counselor · Emmaus, PA
NPI 1285758490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285758490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC004112 (PA)
- Practice address
- 23 N 6TH St
2ND Floor
Emmaus, PA 18049-2411 - Phone
- (610) 965-3633
- NPI assigned
- Mar 16, 2007
- 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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC004112 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC004112 | PA | Yes |
Addresses
Primary practice location
23 N 6TH St
2ND Floor
Emmaus, PA 18049-2411
Mailing address
23 N 6TH St
2ND Floor
Emmaus, PA 18049-2411
Phone (610) 965-3633
Other providers in Emmaus, PA
- Barbara Fillman
- Michael Anthony Fiore
- First Choice Chiropractic Neurology and Rehabilitation
- Megan Foster
- Lauren Sarah Friedman
- G & J Mercier, Inc
- Letecia Garcia
- Dana Maria Gargiulo
- Deborah A Garrett
- Patricia Gatter
All providers in Emmaus, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.