Provider Demographics
NPI:1578068847
Name:RINN, PAM (PHD)
Entity Type:Individual
Prefix:
First Name:PAM
Middle Name:
Last Name:RINN
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 1:4300 BORDEAUX WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-7056
Mailing Address - Country:US
Mailing Address - Phone:817-233-5467
Mailing Address - Fax:
Practice Address - Street 1:1430 ROBINSON RD STE 430
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-3155
Practice Address - Country:US
Practice Address - Phone:940-222-8703
Practice Address - Fax:940-239-9867
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health