Provider Demographics
NPI:1861613648
Name:LOMAN, PAMELA ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANN
Last Name:LOMAN
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 1:1101 COLLEGE AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3956
Mailing Address - Country:US
Mailing Address - Phone:707-490-2241
Mailing Address - Fax:
Practice Address - Street 1:1101 COLLEGE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3956
Practice Address - Country:US
Practice Address - Phone:707-490-2241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18226103TC0700X, 103TC2200X, 103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth