MEDICARE: MS. PAMELA ANN TORRE LICSW

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	101YP2500X	Professional Counselor	1021426	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1021426	OTHER	MA	LICENSE

General Provider Information

NPI Number	:	1699823757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA ANN TORRE LICSW

Provider Business Mailing Address
First Line	:	53 GOTHIC ST STE 5
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3047
Country	:	US
Telephone Number	:	413-588-1614
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 GOTHIC ST STE 5
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-3047
Country	:	US
Telephone Number	:	413-588-1614
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	04/22/2022

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