Jenkins, Pamela L.
Jenkins, Pamela L. is an sole proprietor health care provider with primary practice located at 1378 Oakdale Ave , San Francisco CA 94124-2724. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jenkins, Pamela L. can be contacted via phone (415) 637-0695.Contact Information
Primary practice address
1378 Oakdale Ave
San Francisco CA 94124-2724
Phone: (415) 637-0695
Fax: (206) 350-3122
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY20240 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 003657 | Georgia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY 003657 | Georgia |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY20240 | California |
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY 003657 | Georgia |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 20240 | California |
Profile Details
NPI number | 1578591863 |
---|---|
LBN Legal business name | Jenkins, Pamela L. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2006 |
Last updated | Nov 27th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578591863 | NPPES |
Georgia | MEDICAID | 003134412C | |
Georgia | MEDICAID | 43274 |
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