Provider Demographics
NPI:1558726919
Name:PINNA, NOOR (LMHC)
Entity Type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:PINNA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:NOOR
Other - Middle Name:
Other - Last Name:FATIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1073 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3513
Mailing Address - Country:US
Mailing Address - Phone:845-418-0029
Mailing Address - Fax:
Practice Address - Street 1:1073 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3513
Practice Address - Country:US
Practice Address - Phone:845-418-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006556101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health