Most Relevant Information
Provider Data
| NPI Number: | 1003498791 |
| Provider Name: | PAMELA CUMMISKY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2021 |
| Last Updated: | 04/22/2021 |
Provider Practice Location
30 MEADOWBROOK RD
BROCKTON
MA
023017122
Practice Location Phone/Fax
| Phone: | 7746281000 |
| Fax: |
Provider Mailing Location
72 KILBURN ST
NEW BEDFORD
MA
027407321
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |