Individual
PAMELA PARKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Mailing address
1010 GOUGH ST, SAN FRANCISCO, CA 94109-7622
(415) 474-7310
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 14362
CA
1041C0700X
Clinical Social Worker
LCS 15692
CA
Other
Enumeration date
07/31/2009
Last updated
10/04/2009
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