Provider Demographics
NPI:1467514596
Name:PINCIOTTI, DENNIS PATRICK (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:PATRICK
Last Name:PINCIOTTI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 BRENTWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-1484
Mailing Address - Country:US
Mailing Address - Phone:216-658-3920
Mailing Address - Fax:330-666-5881
Practice Address - Street 1:32915 AURORA RD STE 270
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3637
Practice Address - Country:US
Practice Address - Phone:216-556-0097
Practice Address - Fax:330-666-5881
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1227 PCC-S101YP2500X
OH3877103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist