Pierce, Pamela Jo

Pierce, Pamela Jo is an sole proprietor health care provider with primary practice located at 1399 Franklin Ave , Garden City NY 11530-7400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pierce, Pamela Jo can be contacted via phone (845) 279-5908.

Contact Information

Primary practice address
1399 Franklin Ave Garden City NY 11530-7400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1241 Alabama
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2004013227 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 020113 New York

Profile Details

NPI number 1336346873
LBN Legal business name Pierce, Pamela Jo
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Jan 6th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336346873 NPPES
Missouri MEDICAID 499312601

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