Provider Demographics
NPI:1477249696
Name:PRINO, CLAUDIA T (PSYD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:T
Last Name:PRINO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7038 BRIGHTWATER DR
Mailing Address - Street 2:
Mailing Address - City:KEYSTONE HEIGHTS
Mailing Address - State:FL
Mailing Address - Zip Code:32656-8279
Mailing Address - Country:US
Mailing Address - Phone:352-665-1013
Mailing Address - Fax:
Practice Address - Street 1:7038 BRIGHTWATER DR
Practice Address - Street 2:
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656-8279
Practice Address - Country:US
Practice Address - Phone:352-665-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5084103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical