Pamela Lape

Individual provider Active NPI Psychoanalysis Psychologist · Chester, CT

NPI 1972996049 · NPPES record last updated Jul 18, 2016

Key facts

NPI
1972996049
Entity type
Individual (NPI type 1)
Primary specialty
Psychoanalysis Psychologist 103TP0814X
License
000647-1 (NY)
Practice address
15 North Main Street
Reflections of Chester
Chester, CT 06412
Phone
(203) 957-2249
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000647-1NYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Psychoanalysis Psychologist 103TP0814X 000647-1 NY Yes

Addresses

Primary practice location

15 North Main Street
Reflections of Chester
Chester, CT 06412

Mailing address

25 High St
Chester, CT 06412-1118
Phone (203) 957-2249

Other providers in Chester, CT

All providers in Chester, CT · Psychoanalysis Psychologist in Connecticut

Sources for this page

Verify at the official NPI Registry.