Provider Demographics
NPI:1497909584
Name:PAMELA SARLUND-HEINRICH, P.S.
Entity Type:Organization
Organization Name:PAMELA SARLUND-HEINRICH, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:SARLUND-HEINRICH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:253-686-7170
Mailing Address - Street 1:1002 39TH AVE SW STE 206
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3805
Mailing Address - Country:US
Mailing Address - Phone:253-435-6082
Mailing Address - Fax:
Practice Address - Street 1:1002 39TH AVE SW STE 206
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3805
Practice Address - Country:US
Practice Address - Phone:253-435-6082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY3821103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty