Provider Demographics
NPI:1932550456
Name:PINNO, RANDI (AUD)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:PINNO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:
Other - Last Name:CROPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6915 LAUREL BOWIE RD STE 304
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1725
Mailing Address - Country:US
Mailing Address - Phone:301-860-1124
Mailing Address - Fax:240-929-4640
Practice Address - Street 1:22738 MAPLE RD STE 109
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3347
Practice Address - Country:US
Practice Address - Phone:410-535-0024
Practice Address - Fax:240-237-8573
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01389231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist