Provider Demographics
NPI:1710097951
Name:COURTRIGHT, PAMELA LOUISE
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:LOUISE
Last Name:COURTRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:LOUISE
Other - Last Name:HOLZAPFEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21914 HERMOSA AVE
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2862
Mailing Address - Country:US
Mailing Address - Phone:408-255-4147
Mailing Address - Fax:650-617-2619
Practice Address - Street 1:795 WILLOW RD # 180D
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2539
Practice Address - Country:US
Practice Address - Phone:650-617-2751
Practice Address - Fax:650-617-2619
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA159831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical