Provider Demographics
NPI:1720302482
Name:PIRAINO, JAN L (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:L
Last Name:PIRAINO
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 1:6014 N POINTE PL
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-5500
Mailing Address - Country:US
Mailing Address - Phone:818-992-0006
Mailing Address - Fax:818-992-0070
Practice Address - Street 1:6014 N POINTE PL
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-5500
Practice Address - Country:US
Practice Address - Phone:818-992-0006
Practice Address - Fax:818-992-0070
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral