Provider Demographics
NPI:1437215266
Name:MCCRORY, PAMELA J (PHD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:MCCRORY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 PARKWAY CALABASAS
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1400
Mailing Address - Country:US
Mailing Address - Phone:818-999-4126
Mailing Address - Fax:818-591-2089
Practice Address - Street 1:5000 PARKWAY CALABASAS
Practice Address - Street 2:SUITE 103
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1400
Practice Address - Country:US
Practice Address - Phone:818-999-4126
Practice Address - Fax:818-591-2089
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 12094103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist