MEDICARE: PAMELA B. POMETTI

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
1	103TS0200X	School Psychologist	SS952	FL

General Provider Information

NPI Number	:	1477840940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA B. POMETTI

Provider Business Mailing Address
First Line	:	2298 ROYAL LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5323
Country	:	US
Telephone Number	:	508-776-3923
Fax Number	:

Provider Business Practice Location Address
First Line	:	2298 ROYAL LN
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34112-5323
Country	:	US
Telephone Number	:	508-776-3923
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	07/06/2011

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Directions to “ PAMELA B. POMETTI ” Practice Location

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