Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 3451 | OH |
NPI | 1093773723 |
---|---|
Provider Name | Dr. Pamela Sue Highlen |
First Address | Worthington, OH 43085-2237 |
Second Address | Worthington, OH 43085-2237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 08/07/2007 |