Provider Demographics
NPI:1053580738
Name:CLOHESEY, PAMELA HELEN (DEAF MENTOR)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:HELEN
Last Name:CLOHESEY
Suffix:
Gender:F
Credentials:DEAF MENTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 HIGHLAND LN
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2551
Mailing Address - Country:US
Mailing Address - Phone:847-486-4132
Mailing Address - Fax:847-486-4132
Practice Address - Street 1:1234 HIGHLAND LN
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2551
Practice Address - Country:US
Practice Address - Phone:847-486-4132
Practice Address - Fax:847-486-4132
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0299046982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist