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DR. PAMELA GRACE DEVANEY PSY.D.

Clinical Neuropsychologist

Andover, Massachusetts

Provider NPI: 1295771533

Provider Information:
DR. PAMELA GRACE DEVANEY PSY.D.
Gender: F
Not Sole Proprietor

Practice Location:
63 PARK ST SUITE 15 ANDOVER, MA 01810 US
Tel: 978-474-5004  Fax: 978-474-5004

Business Mailing Address:
511 E BROADWAY  HAVERHILL, MA 01830 US
Tel: 978-373-0786  Fax: 978-373-0778

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA7935
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MA7935
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
MA7935
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA7935
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA7935
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
MA7935

Other Provider Identifiers:

IssuerNumberStateType
0501221MA05
BLIE CROSS BLUE SHIELDW06131MA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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