Healthcare Provider Details

I. General information

NPI: 1225546237
Provider Name (Legal Business Name): PAMELA DENISE PARKINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39525 LOS ALAMOS RD STE C #489
MURRIETA CA
92563
US

IV. Provider business mailing address

39525 LOS ALAMOS RD STE C #489
MURRIETA CA
92563
US

V. Phone/Fax

Practice location:
  • Phone: 714-833-1921
  • Fax:
Mailing address:
  • Phone: 714-833-1921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number103019
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number8395
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number14285633-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: