MEDICARE: DR. ELISE PINNEY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	23571	TX

General Provider Information

NPI Number	:	1780860874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISE PINNEY PHD

Provider Business Mailing Address
First Line	:	1111 HERRING AVE
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3642
Country	:	US
Telephone Number	:	254-750-1271
Fax Number	:	245-750-1358

Provider Business Practice Location Address
First Line	:	1111 HERRING AVE
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76708-3642
Country	:	US
Telephone Number	:	254-750-1271
Fax Number	:	245-750-1358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	02/11/2026

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Directions to “ DR. ELISE PINNEY PHD” Practice Location

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