Doctor Name: | ROBERT KENNETH WINEGAR |
NPI Number: | 1003967514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | 6215 |
Business Practice Address: | 1991 Hyde Park St Sarasota, FL - 342393600 |
Business Phone Number: | 9419534313 |
Business Fax Number: | 9419548631 |
Mailing Address: | 1991 Hyde Park St, SARASOTA |
State: | FL |
Postal Code: | 342393600 |
Phone Number: | 9419534313 |
Fax Number: | 9419548631 |
NPI Enumeration Date: | 01/13/2007 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6215 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |