Provider Demographics
NPI:1467334862
Name:PAMARIE PEDJOE
Entity type:Organization
Organization Name:PAMARIE PEDJOE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDJOE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-506-6208
Mailing Address - Street 1:1170 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-3312
Mailing Address - Country:US
Mailing Address - Phone:510-506-6208
Mailing Address - Fax:
Practice Address - Street 1:1170 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-3312
Practice Address - Country:US
Practice Address - Phone:510-506-6208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty