Provider Demographics
NPI:1205005014
Name:PINYAN, KATHERINE A (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:A
Last Name:PINYAN
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4334 HOBBS ROAD
Mailing Address - Street 2:AMERICAN HEBREW ACADEMY
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:336-217-7081
Mailing Address - Fax:336-217-7132
Practice Address - Street 1:4334 HOBBS RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-3557
Practice Address - Country:US
Practice Address - Phone:336-217-7081
Practice Address - Fax:336-217-7132
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional