# PINEDALE PSYCHOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427882364
- **Authorized official:** CAMILLE R REINECKER LMFT (OWNER)
- **Authorized official phone:** (818) 274-2227

## Contact information

- **Practice address:** 715 N CENTRAL AVE STE 108, GLENDALE, CA 91203-1225
- **Practice address phone:** (818) 274-2227
- **Mailing address:** 1808 4TH ST, SAN FERNANDO, CA 91340-1910
- **Mailing address phone:** (818) 274-2227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2024
- **Last updated:** 08/30/2024
