Healthcare Provider Details

I. General information

NPI: 1740542182
Provider Name (Legal Business Name): MICHELLE LISA PINTO M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE MURRETT

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8030 LA MESA BLVD
LA MESA CA
91942-0335
US

IV. Provider business mailing address

520 CASEY RD
EAST AMHERST NY
14051-1487
US

V. Phone/Fax

Practice location:
  • Phone: 619-567-9448
  • Fax:
Mailing address:
  • Phone: 716-444-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: