Healthcare Provider Details

I. General information

NPI: 1114068194
Provider Name (Legal Business Name): PAMELA JOYCE HUFFMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2007
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HOSPITAL RD STE 2200
INDIANA PA
15701-3663
US

IV. Provider business mailing address

850 HOSPITAL RD STE 2200
INDIANA PA
15701-3663
US

V. Phone/Fax

Practice location:
  • Phone: 724-464-0270
  • Fax: 724-464-0274
Mailing address:
  • Phone: 724-494-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014930
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: