Individual
STACEY PINNEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S BASCOM AVE STE 2010, SAN JOSE, CA 95128-3538
(408) 675-6083
Mailing address
515 BLOSSOM HILL RD APT 46, LOS GATOS, CA 95032-4530
(408) 710-8118
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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