Provider Demographics
NPI:1417379355
Name:SINOPOLI, DANA (PSYD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:SINOPOLI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 CHESTNUT ST
Mailing Address - Street 2:PMB 256
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4140
Mailing Address - Country:US
Mailing Address - Phone:484-483-3047
Mailing Address - Fax:
Practice Address - Street 1:1229 CHESTNUT ST
Practice Address - Street 2:PMB 256
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4140
Practice Address - Country:US
Practice Address - Phone:484-483-3047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017422103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical