Provider Demographics
NPI:1255471165
Name:KLINGER, PAMELA RUTH (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:RUTH
Last Name:KLINGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5648 AMERICAN CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8565
Mailing Address - Country:US
Mailing Address - Phone:561-350-0940
Mailing Address - Fax:561-496-3698
Practice Address - Street 1:5648 AMERICAN CIR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8565
Practice Address - Country:US
Practice Address - Phone:561-350-0940
Practice Address - Fax:561-496-3698
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6467101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health