Provider Demographics
NPI:1508633744
Name:PASTORINO, STEPHANIE (CBHCM)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:PASTORINO
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8607 SW 214TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-7341
Mailing Address - Country:US
Mailing Address - Phone:786-853-7955
Mailing Address - Fax:
Practice Address - Street 1:8607 SW 214TH TER
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-7341
Practice Address - Country:US
Practice Address - Phone:786-853-7955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker