Provider Demographics
NPI:1174155667
Name:SLOANE-BRADBURY, PAMELA (LMHC, LCC, MA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:SLOANE-BRADBURY
Suffix:
Gender:F
Credentials:LMHC, LCC, MA
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:SLOANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:300 W 145TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3142
Mailing Address - Country:US
Mailing Address - Phone:646-535-7045
Mailing Address - Fax:
Practice Address - Street 1:300 W 145TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3142
Practice Address - Country:US
Practice Address - Phone:646-535-7045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health