Provider Demographics
NPI:1689927493
Name:PINCIARO, DANIEL L (MSED, PC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:PINCIARO
Suffix:
Gender:M
Credentials:MSED, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 DELWOOD ST
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1141
Mailing Address - Country:US
Mailing Address - Phone:740-632-2662
Mailing Address - Fax:
Practice Address - Street 1:141 BRADY CIR W
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1411
Practice Address - Country:US
Practice Address - Phone:740-266-6040
Practice Address - Fax:740-266-6046
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC. 0501317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health