Provider Demographics
NPI:1487783130
Name:ADELMAN, PAMELA (MSW)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:ADELMAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:PENINA
Other - Middle Name:V
Other - Last Name:ADELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:243 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2422
Mailing Address - Country:US
Mailing Address - Phone:617-965-8309
Mailing Address - Fax:
Practice Address - Street 1:243 UPLAND RD
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-2422
Practice Address - Country:US
Practice Address - Phone:617-965-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA107016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health