Provider Demographics
NPI:1689715633
Name:PINTER, CAROL A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:PINTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 N GENESEE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-8630
Mailing Address - Country:US
Mailing Address - Phone:262-567-6507
Mailing Address - Fax:
Practice Address - Street 1:2600 N MAYFAIR RD STE 870
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1330
Practice Address - Country:US
Practice Address - Phone:414-412-7137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2116057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist