Provider Demographics
NPI:1396093688
Name:P&W ASSOCIATES PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:P&W ASSOCIATES PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMADO
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:PINERO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-514-9847
Mailing Address - Street 1:1155 BRICKELL BAY DR APT 1806
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3215
Mailing Address - Country:US
Mailing Address - Phone:786-514-9847
Mailing Address - Fax:
Practice Address - Street 1:1155 BRICKELL BAY DR APT 1806
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3215
Practice Address - Country:US
Practice Address - Phone:786-514-9847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-072360103K00000X
FL108731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty