Doctor Name: | DR. SHARON LYNN WINDWER |
NPI Number: | 1063577633 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 010426 |
Business Practice Address: | 25517 Northern Blvd Suite B-2 Little Neck, NY - 113621453 |
Business Phone Number: | 7184236722 |
Business Fax Number: | 7187471240 |
Mailing Address: | 25517 Northern Blvd, Suite B-2 LITTLE NECK |
State: | NY |
Postal Code: | 113621453 |
Phone Number: | 7184236722 |
Fax Number: | 7187471240 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 010426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |