Doctor Name: | MRS. JENNIFER M PINTO |
NPI Number: | 1003111436 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | 37AC00076000 |
Business Practice Address: | 7 Doig Rd Suite 2 Wayne, NJ - 074707433 |
Business Phone Number: | 9736280234 |
Business Fax Number: | |
Mailing Address: | B2 Suburbian Vlg, WANAQUE |
State: | NJ |
Postal Code: | 074651613 |
Phone Number: | 9737693441 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2011 |
NPI Last Update Date: | 01/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37AC00076000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |