Pamela Lawson Wise

Individual provider Developmental Therapist · NPI 1679973010

Pamela Lawson Wise is a Developmental Therapist in Merritt Island, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2014.

In the registry since: 2014

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Practice location Address checks out

1460 Holiday Blvd
Merritt Island, FL 32952-5537
Phone: (049) 414-5927

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

1460 Holiday Blvd, Merritt Island, FL 32952-5537 — (704) 941-4592

Specialties & licences

Developmental Therapist (primary)	Taxonomy 222Q00000X

Record details

NPI number	1679973010
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	September 3, 2014
Last updated in NPPES	April 22, 2022
Certification date	April 22, 2022
Mailing address	1460 Holiday Blvd, Merritt Island, FL 32952-5537