Provider Demographics
NPI:1447345871
Name:GINSBERG, PAMELA J (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:J
Last Name:GINSBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FARM LN
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4740
Mailing Address - Country:US
Mailing Address - Phone:215-340-0608
Mailing Address - Fax:215-340-2535
Practice Address - Street 1:400 FARM LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4740
Practice Address - Country:US
Practice Address - Phone:215-340-0608
Practice Address - Fax:215-340-2535
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007891L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA097487Medicare PIN