Provider Demographics
NPI:1649313628
Name:HARP, PAMELA (MFT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HARP
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 SPAZIER AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-4825
Mailing Address - Country:US
Mailing Address - Phone:831-915-0444
Mailing Address - Fax:831-644-0888
Practice Address - Street 1:479 PACIFIC ST
Practice Address - Street 2:SUITE 8
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2716
Practice Address - Country:US
Practice Address - Phone:831-915-0444
Practice Address - Fax:831-644-0888
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist