Pamela Ann Gasaway, MHPP
Individual provider Active NPI Counselor · Marshall, AR
NPI 1760639033 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1760639033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 316 Hwy 65 North
Marshall, AR 72650 - Phone
- (870) 448-4727
- Fax
- (870) 448-4496
- NPI assigned
- Aug 19, 2008
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
316 Hwy 65 North
Marshall, AR 72650
Mailing address
5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580
Other providers in Marshall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. 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.