Healthcare Provider Details

I. General information

NPI: 1932024882
Provider Name (Legal Business Name): PAMELA ANN CROSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 N CANYONS PKWY
LIVERMORE CA
94551-9185
US

IV. Provider business mailing address

210 PROMENADE LN
DANVILLE CA
94506-1422
US

V. Phone/Fax

Practice location:
  • Phone: 925-365-7266
  • Fax:
Mailing address:
  • Phone: 925-430-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: