Provider Demographics
NPI:1801196480
Name:PINTO, ALLISON (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:PINTO
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 1:1188 N TAMIAMI TRL
Mailing Address - Street 2:SUITE 205-C
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-2414
Mailing Address - Country:US
Mailing Address - Phone:941-539-8993
Mailing Address - Fax:941-362-0452
Practice Address - Street 1:1188 N TAMIAMI TRL
Practice Address - Street 2:SUITE 205-C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-2414
Practice Address - Country:US
Practice Address - Phone:941-539-8993
Practice Address - Fax:941-362-0452
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7193103TB0200X, 103TC2200X, 103TF0000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy