Provider Demographics
NPI:1346451010
Name:KREJCI, PAMELA ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:ANN
Last Name:KREJCI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11924 DORSETT RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-6000
Mailing Address - Country:US
Mailing Address - Phone:512-965-5559
Mailing Address - Fax:
Practice Address - Street 1:11924 DORSETT RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-6000
Practice Address - Country:US
Practice Address - Phone:512-703-1396
Practice Address - Fax:512-403-1390
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical