Deitz, Pamela

Deitz, Pamela is an individual health care provider with primary practice located at 30101 Town Center Dr Ste. 109, Laguna Niguel CA 92677-5006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deitz, Pamela can be contacted via phone (949) 488-2699.

Contact Information

Primary practice address
30101 Town Center Dr Ste. 109 Laguna Niguel CA 92677-5006
Phone: (949) 488-2699
Fax: (949) 218-6461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW7317 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M12160 California

Profile Details

NPI number 1669416269
LBN Legal business name Deitz, Pamela
Credentials LCSW/MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669416269 NPPES
California Other 11331408 CAQH

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