Most Relevant Information
Provider Data
| NPI Number: | 1003224304 |
| Provider Name: | PAMELA MOODY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LCP5663 |
Most Important Dates
| Enumeration Date: | 07/30/2014 |
| Last Updated: | 07/30/2014 |
Provider Practice Location
9314 PISCATAWAY RD
ROOM 152
CLINTON
MD
207353630
Practice Location Phone/Fax
| Phone: | 3018569512 |
| Fax: | 3018569589 |
Provider Mailing Location
9314 PISCATAWAY RD
ROOM 152
CLINTON
MD
207353630
Provider Mailing Phone/Fax
| Phone: | 3018569512 |
| Fax: | 3018569589 |