Provider Demographics
NPI:1639876071
Name:DINOVO, VOSTINA (PHD)
Entity type:Individual
Prefix:
First Name:VOSTINA
Middle Name:
Last Name:DINOVO
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 1:739 AUDREY LN
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2676
Mailing Address - Country:US
Mailing Address - Phone:301-633-8380
Mailing Address - Fax:
Practice Address - Street 1:8422 ELECTRIC AVE
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-5109
Practice Address - Country:US
Practice Address - Phone:703-849-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810007499103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical