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NPI Code Detail

MEDICARE: PAMELA KAY HERRICK LMFT

MEDICARE: PAMELA KAY HERRICK LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist48296CA
2106H00000XMarriage & Family TherapistMFT.0001552CO

General Provider Information

NPI Number : 1306398144
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA KAY HERRICK LMFT
Provider Business Mailing Address
First Line : 1661 ESTRELLA AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3522
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 1661 ESTRELLA AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3522
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 04/09/2026

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