Organization Name: | ROBERT K WINEGAR PSY D |
NPI Number: | 1013068527 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT KENNETH WINEGAR (PSYCHOLOGIST-PRESIDENT) |
Mailing Address: | 1991 Hyde Park St Sarasota |
State: | FL US |
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: |