Provider Demographics
NPI:1427261064
Name:PINTO, VINCENT P (LISW)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:P
Last Name:PINTO
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VICTORIA SQ
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-3406
Mailing Address - Country:US
Mailing Address - Phone:440-352-8954
Mailing Address - Fax:
Practice Address - Street 1:1 VICTORIA SQ
Practice Address - Street 2:SUITE 105
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3406
Practice Address - Country:US
Practice Address - Phone:440-352-8954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0001097101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health