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NPI Code Detail

MEDICARE: PAMELA BOYSEN LCSW

MEDICARE: PAMELA BOYSEN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker2013045152MO
21041C0700XClinical Social Worker94160CA

General Provider Information

NPI Number : 1225450935
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA BOYSEN LCSW
Provider Business Mailing Address
First Line : 13001 SEAL BEACH BLVD
Second Line : STE 360
City : SEAL BEACH
State : CA
Zip : 90740-2747
Country : US
Telephone Number : 714-844-7282
Fax Number : 913-349-9075
Provider Business Practice Location Address
First Line : 13001 SEAL BEACH BLVD
Second Line : STE 360
City : SEAL BEACH
State : CA
Zip : 90740-2747
Country : US
Telephone Number : 714-844-7282
Fax Number : 913-349-9075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2014
Last Update Date : 05/10/2021

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Directions to “ PAMELA BOYSEN LCSW” Practice Location

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