Doctor Name: | MS. KRISTA WINEGAR |
NPI Number: | 1003969171 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMLP |
License Number: | LMLP 949 |
Business Practice Address: | 6440 Nieman Rd Shawnee, KS - 662033326 |
Business Phone Number: | 9138264000 |
Business Fax Number: | |
Mailing Address: | 6000 Lamar Ave Ste 130, MISSION |
State: | KS |
Postal Code: | 662023234 |
Phone Number: | 9138312550 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | LMLP 949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |