Klonoff, Pamela S

Klonoff, Pamela S is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 401, Phoenix AZ 85013-4419. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Klonoff, Pamela S can be contacted via phone (602) 406-3473.

Contact Information

Primary practice address
222 W Thomas Rd Suite 401 Phoenix AZ 85013-4419
Phone: (602) 406-3473
Fax: (602) 406-4406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1239 Arizona

Profile Details

NPI number 1770556433
LBN Legal business name Klonoff, Pamela S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 3rd, 2012 - about 12 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 1770556433 NPPES
Arizona MEDICAID 731332

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