Provider Demographics
NPI:1184124117
Name:PINTO-COELHO, KRISTEN G (PHD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:G
Last Name:PINTO-COELHO
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 1:20229 WILDCAT RUN DR
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-2011
Mailing Address - Country:US
Mailing Address - Phone:240-447-7754
Mailing Address - Fax:
Practice Address - Street 1:3355 SAINT JOHNS LN STE J
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2600
Practice Address - Country:US
Practice Address - Phone:240-650-9596
Practice Address - Fax:410-480-0110
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-16
Last Update Date:2024-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05966103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist