Provider Demographics
NPI:1629663877
Name:PINNEL, MATTHEW R (LMFT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:R
Last Name:PINNEL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 OLD YORK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2034
Mailing Address - Country:US
Mailing Address - Phone:215-394-8625
Mailing Address - Fax:215-933-6898
Practice Address - Street 1:1200 OLD YORK RD STE 101
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2034
Practice Address - Country:US
Practice Address - Phone:215-394-8625
Practice Address - Fax:215-933-6898
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist