Pine, Pamela Sue

Pine, Pamela Sue is an sole proprietor health care provider with primary practice located at 9735 Wilshire Blvd Ste 212 , Beverly Hills CA 90212-2102. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychoanalysis, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Pine, Pamela Sue can be contacted via phone (310) 275-1867.

Contact Information

Primary practice address
9735 Wilshire Blvd Ste 212 Beverly Hills CA 90212-2102
Phone: (310) 275-1867
Fax: (310) 275-4838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY16970 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16970 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY16970 California
Behavioral Health & Social Service Providers / Psychoanalysis 103TP0814X PSY16970 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY6970 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY16970 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY16970 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT17040 California

Profile Details

NPI number 1407933005
LBN Legal business name Pine, Pamela Sue
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Dec 2nd, 2011 - about 13 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 1407933005 NPPES
California Other 202957000 DEPT OF LABOR
California Other 710955581 DEPT OF LABOR
California Other 160373 DEPT OF LABOR

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