Pamela Stubbs Decolo | Waltham, MA • PECOS Search

Pamela Stubbs Decolo

Social Worker

Behavioral Health & Social Service Providers

1430 Main St, Waltham, MA 02451-1623

(781) 647-5327 (617) 244-1710

PECOS Enrollment

Based on the most recent information from CMS, provider Pamela Stubbs Decolo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1477050888
Provider Type
Individual
Full Name
Decolo, Pamela Stubbs
Gender
Female

Sole Proprietor
No
Enumeration Date
4/11/2018
Last Updated
4/11/2018

Contact Information

Practice Location

1430 Main St, Waltham, MA 02451-1623

Unlisted Fax

Mailing Location

15 Camden Rd, Auburndale, MA 02466-1503

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1030801 Massachusetts