Provider Demographics
NPI:1740591429
Name:PESCE, RINA V (PHD)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:V
Last Name:PESCE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891I ROCKVILLE PIKE # 111
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1229
Mailing Address - Country:US
Mailing Address - Phone:301-909-3358
Mailing Address - Fax:301-909-4828
Practice Address - Street 1:5000 THAYER CENTER
Practice Address - Street 2:SUITE C
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550
Practice Address - Country:US
Practice Address - Phone:301-909-3358
Practice Address - Fax:301-909-4828
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04491103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral