Provider Demographics
NPI:1730542598
Name:CAEHILL, PAMELA (PSYD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:CAEHILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 OLD CLINTON RD
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1857
Mailing Address - Country:US
Mailing Address - Phone:860-399-5338
Mailing Address - Fax:
Practice Address - Street 1:141 BOSTON POST RD
Practice Address - Street 2:OFFICE 5B
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1558
Practice Address - Country:US
Practice Address - Phone:860-876-0642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002124101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional