Provider Demographics
NPI:1699213926
Name:GOMEZ, PAMELA SHAWN-STIVERS (MS LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:SHAWN-STIVERS
Last Name:GOMEZ
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 S JONES BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6768
Mailing Address - Country:US
Mailing Address - Phone:702-278-9350
Mailing Address - Fax:
Practice Address - Street 1:3275 S JONES BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6768
Practice Address - Country:US
Practice Address - Phone:702-800-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist