Organization Name: | PINTAR PSYCHOLOGICAL SERVICES, PC |
NPI Number: | 1023352747 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMIE MICHAEL PINTAR (OWNER/PSYCHOLOGIST) |
Mailing Address: | 12719 S West Bay Shore Dr Suite #9 Traverse City |
State: | MI US |
Postal Code: | 496845489 |
Phone Number: | 2317147054 |
Fax Number: | 2319431032 |
NPI Enumeration Date: | 11/19/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 6301013916 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |