Individual provider · Type 1 NPI
Pamela Ann Goatley, DEVELOPMENTAL INTERV
Specialist · Hickory, KY
NPI number
1164689485
Active
Practice location
4989 State Route 440
Hickory, KY 42051-9222
Fax (270) 623-6393
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | F19527M (KY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1164689485
Pamela Ann Goatley, DEVELOPMENTAL INTERV's National Provider Identifier is 1164689485, issued on May 22, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hickory, KY. The record was last updated on May 22, 2008.