SearchIllinois101YP2500X

Pamela Waterman, MA, LCPC

NPI 1407001357 · on the registry since 2008 · sole proprietor

Practice

Address
720 E. Wood St.
Decatur, IL 62523
Phone
(217) 425-9931
Fax
(217) 425-9701
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-11-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois