Ittner, Pamela Joan

Ittner, Pamela Joan is an individual health care provider with primary practice located at 1009 Maitland Center Commons Blvd #212, Maitland FL 32751-7270. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ittner, Pamela Joan can be contacted via phone (800) 840-2528.

Contact Information

Primary practice address
1009 Maitland Center Commons Blvd #212 Maitland FL 32751-7270
Phone: (800) 840-2528
Fax: (407) 636-3530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3899 Oklahoma
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1295 Florida

Profile Details

NPI number 1902120900
LBN Legal business name Ittner, Pamela Joan
Credentials PMH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2010
Last updated Jun 24th, 2015 - about 9 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 1902120900 NPPES
Florida MEDICAID 0141785-00

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