Provider Demographics
NPI:1740737816
Name:PINNISI, KERRY LYNN
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:LYNN
Last Name:PINNISI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 PLEASANT STREET
Mailing Address - Street 2:#1
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-2736
Mailing Address - Country:US
Mailing Address - Phone:781-581-4400
Mailing Address - Fax:
Practice Address - Street 1:96 PLEASANT STREET
Practice Address - Street 2:#1
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901-2736
Practice Address - Country:US
Practice Address - Phone:781-581-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health