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NPI Code Detail

MEDICARE: ALLAYNA PINKSTON PSY.D.

MEDICARE: ALLAYNA PINKSTON PSY.D.
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
1103TC0700XClinical Psychologist071009381IL

General Provider Information

NPI Number : 1760931695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAYNA PINKSTON PSY.D.
Provider Business Mailing Address
First Line : 5153 N CLARK ST STE 306
Second Line :
City : CHICAGO
State : IL
Zip : 60640-6850
Country : US
Telephone Number : 312-690-3140
Fax Number :
Provider Business Practice Location Address
First Line : 5153 N CLARK ST STE 306
Second Line :
City : CHICAGO
State : IL
Zip : 60640-6850
Country : US
Telephone Number : 312-690-3140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 08/12/2020

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