National Provider Identifier Database

PAMELA S WATERMAN, MA, LCPC – NPI #1407001357
Professional


Contact Information

PAMELA S WATERMAN, MA, LCPC
720 E. WOOD ST.
DECATUR, IL62523
Phone: 217-425-9931
Fax: 217-425-9701
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for PAMELA S WATERMAN

NPI Number 1407001357
Credentials MA, LCPC
Entity Individual
Enumeration date 11/19/2008
Last updated 11/19/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 180.006107
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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