Pamela Sue Pine in Beverly Hills - Marriage & Family Therapist
Pamela Sue Pine - NPI 1407933005
Pamela Sue Pine is a Marriage & Family Therapist in Beverly Hills, California. Pamela Sue Pine practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Pamela Sue Pine is 1407933005. The last update date is 2011-12-02.
Pamela Sue Pine's current location address is 9735 Wilshire Blvd Ste 212, Beverly Hills, California. You can contact this provider via phone number 3102751867 and fax number 3102754838. The mailing address for Pamela Sue Pine is 9735 Wilshire Blvd Ste 212, Beverly Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Sue Pine |
|---|---|
| Address | 9735 Wilshire Blvd Ste 212, Beverly Hills, California |
| Phone Number | 3102751867 |
| Fax Number | 3102754838 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1407933005 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2011-12-02 |
Provider Mailing Address Detail
| Address | 9735 Wilshire Blvd Ste 212 |
|---|---|
| City | Beverly Hills |
| State | California (CA) |
| Post Code | 902122102 |
| Phone Number | 3102751867 |
| Fax Number | 3102754838 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFT17040 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202957000 | CA | DEPT OF LABOR | |
| 710955581 | CA | BLUE CROSS | |
| 160373 | VALUEOPTIONS |
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What is the unique identification code assigned to Pamela Sue Pine by the Centers for Medicare & Medicaid Services?
The Pamela Sue Pine has been issued the NPI (National Provider Identifier) 1407933005. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pamela Sue Pine?
The Pamela Sue Pine is situated at 9735 Wilshire Blvd Ste 212, in the city of Beverly Hills, state of CA, with the zip code 902122102.
What is the Pamela Sue Pine's specialty and taxonomy code?
The Pamela Sue Pine's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
When did the Pamela Sue Pine receive its 1407933005?
The Pamela Sue Pine was issued its 1407933005 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Pamela Sue Pine most recently updated or revised?
The information pertaining to Pamela Sue Pine, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-02.
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