PAMELA KEBRDLE PHD NPI 1982817359

NPI Information

NPI: 1982817359
Provider Name: PAMELA KEBRDLE, PHD
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

Address:
3475 SHERIDAN ST
#308
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 964-3040
Get Directions

Pamela Kebrdle, PHD is a prescribing (medical) psychologist in Hollywood, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. Pamela Kebrdle, PHD NPI is 1982817359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3475 SHERIDAN ST
#308
HOLLYWOOD, FL
ZIP 33021-663
Phone: (954) 964-3040
Fax: (954) 964-2496

The enumeration date for this NPI number is 5/8/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TP0016X	Psychologist	Prescribing (Medical)	PY0005077	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59781	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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