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DR. PAMELA VETRO PHD

Clinical Neuropsychologist

Gainesville, Florida

Provider NPI: 1487987830

Provider Information:
DR. PAMELA  VETRO PHD
Gender: F
Not Sole Proprietor

Practice Location:
1605 NW 16 AVE  GAINESVILLE, FL 32605 US
Tel: 352-374-2022  Fax: --

Business Mailing Address:
PO BOX 12017  GAINESVILLE, FL 32604 US
Tel: 352-374-2022  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N103K00000X
FL1-04-1704
Y103TS0200XBehavioral Health & Social Service Providers
Psychologist
FLSS587

Other Provider Identifiers:

IssuerNumberStateType
684339596FL05
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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