NPI 1639376940

Pamela Nicholson

Practitioner Developmental Therapist Fairfield, CA

Practice location

Address: 490 Chadbourne Rd Suite a, Fairfield, CA 94534-9613
Phone: (707) 422-0464
Fax: (707) 422-0465
Mailing address: PO Box 304, Fairfield, CA 94533-0030

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in California →

Registry record

NPI: 1639376940
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2007
Record last updated: 8 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.