Provider Demographics
NPI:1306720131
Name:CORKEY, PAMELA (CMHC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:CORKEY
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 WILDWOOD ACRES RD
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:VT
Mailing Address - Zip Code:05345-9689
Mailing Address - Country:US
Mailing Address - Phone:857-891-6801
Mailing Address - Fax:
Practice Address - Street 1:57 WILDWOOD ACRES RD
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:VT
Practice Address - Zip Code:05345-9689
Practice Address - Country:US
Practice Address - Phone:857-891-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional