Provider Demographics
NPI:1437454931
Name:PINEYRO, MICHELE (MA)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:PINEYRO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DAISY
Other - Middle Name:M
Other - Last Name:PINEYRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:31 RITA DR
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4615
Mailing Address - Country:US
Mailing Address - Phone:203-546-8602
Mailing Address - Fax:
Practice Address - Street 1:31 RITA DR
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-4615
Practice Address - Country:US
Practice Address - Phone:203-546-8602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY553028041103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool