Provider Demographics
NPI:1457441917
Name:D'INGILLO, PIETRO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:PIETRO
Middle Name:
Last Name:D'INGILLO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:PIERO
Other - Middle Name:
Other - Last Name:D'INGILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:550 S VERMONT AVE
Mailing Address - Street 2:7TH FLOOR, ATTENTION: SMART
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-1912
Mailing Address - Country:US
Mailing Address - Phone:213-485-3375
Mailing Address - Fax:
Practice Address - Street 1:550 S VERMONT AVE
Practice Address - Street 2:7TH FLOOR, ATTENTION: SMART
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-1912
Practice Address - Country:US
Practice Address - Phone:213-485-3375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18141103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical