Provider Demographics
NPI:1902029846
Name:PINHAS, JOAN S (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:S
Last Name:PINHAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1805 215TH ST
Mailing Address - Street 2:APT 6D
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2112
Mailing Address - Country:US
Mailing Address - Phone:303-759-5543
Mailing Address - Fax:303-756-1413
Practice Address - Street 1:1805 215TH ST
Practice Address - Street 2:APT 6D
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2112
Practice Address - Country:US
Practice Address - Phone:303-759-5543
Practice Address - Fax:303-756-1413
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical