Provider Demographics
NPI:1356362750
Name:BJORKLUND, PAMELA A (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:A
Last Name:BJORKLUND
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 1:501 STOCKTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2431
Mailing Address - Country:US
Mailing Address - Phone:408-971-0907
Mailing Address - Fax:
Practice Address - Street 1:501 STOCKTON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2431
Practice Address - Country:US
Practice Address - Phone:408-971-0907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7657103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist