Healthcare Provider Details

I. General information

NPI: 1841981107
Provider Name (Legal Business Name): STEFANIA PINTO PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 S ST NW STE 200
WASHINGTON DC
20001-5197
US

IV. Provider business mailing address

1631 KALORAMA RD NW APT 23
WASHINGTON DC
20009-3515
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-2123
  • Fax:
Mailing address:
  • Phone: 305-726-8501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: