Healthcare Provider Details

I. General information

NPI: 1235159872
Provider Name (Legal Business Name): VALERIE LYNNE PINHAS PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SUSSEX RD
GREAT NECK NY
11020-1829
US

IV. Provider business mailing address

10 SUSSEX RD
GREAT NECK NY
11020-1829
US

V. Phone/Fax

Practice location:
  • Phone: 516-482-8314
  • Fax:
Mailing address:
  • Phone: 516-482-8314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCASAC 1578
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW R034069-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000033
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: