MRS. Pamela Gayle Leisure CCDC III

  • NPI 1356337760
According to our database, the NPI number for MRS. Pamela Gayle Leisure CCDC III is 1356337760 and activated since 18 years ago. MRS. Pamela Gayle Leisure CCDC III is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 123 19th St Ne, Watertown, SD 57201. You can also contact MRS. Pamela Gayle Leisure CCDC III via telephone number is (605) 886-0123. Provider NPI information was last updated on 07/08/2007.

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Overview of MRS. Pamela Gayle Leisure CCDC III

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 09/21/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 03071158
  • License State: SD

Provider Mailing Address

  • Address: Po Box 1030
    Watertown, SD 57201
  • Phone: 605-886-0123
  • Fax: 605-886-5447

Provider Practice Location

  • Address: 123 19th St Ne
    Watertown, SD 57201
  • Phone: 605-886-0123
  • Fax: 605-886-5447

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 03071158
  • License State: SD
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 23593
  • Identifier Type: Other
  • Identifier State:
  • Issuer: ICADC

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Pamela Gayle Leisure CCDC III?
  • A: The npi number for MRS. Pamela Gayle Leisure CCDC III is 1356337760.
  • Q: What are MRS. Pamela Gayle Leisure CCDC III's specialties?
  • A: MRS. Pamela Gayle Leisure CCDC III's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MRS. Pamela Gayle Leisure CCDC III?
  • A: The medical license number for MRS. Pamela Gayle Leisure CCDC III is 03071158 and issued in SD in USA.
  • Q: Where is MRS. Pamela Gayle Leisure CCDC III practice location?
  • A: MRS. Pamela Gayle Leisure CCDC III is practicing at 123 19th St Ne, Watertown, SD 57201.
  • Q: How to contact MRS. Pamela Gayle Leisure CCDC III?
  • A: You can contact MRS. Pamela Gayle Leisure CCDC III via 605-886-0123.
Medicare Specialty
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