Provider Demographics
NPI:1326292467
Name:PINTO, MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:PINTO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FLORIDA PARK DR N
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-3852
Mailing Address - Country:US
Mailing Address - Phone:386-206-6325
Mailing Address - Fax:386-302-2208
Practice Address - Street 1:1 FLORIDA PARK DR N
Practice Address - Street 2:SUITE 207
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3852
Practice Address - Country:US
Practice Address - Phone:386-206-6325
Practice Address - Fax:386-302-2208
Is Sole Proprietor?:No
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCC05018101YM0800X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health