Provider Demographics
NPI:1174130181
Name:BENYAS, PAMELA F (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:F
Last Name:BENYAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:F
Other - Last Name:REITER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:DR. PAMELA BENYAS
Mailing Address - Street 2:4419 VANS NUYS BL #400
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403
Mailing Address - Country:US
Mailing Address - Phone:818-406-8329
Mailing Address - Fax:
Practice Address - Street 1:DR. PAMELA BENYAS
Practice Address - Street 2:4419 VANS NUYS BL #400
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403
Practice Address - Country:US
Practice Address - Phone:818-406-8329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9445103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical