| Doctor Name: | DR. MAUREEN CHRISTINA KENNY WINICK |
| NPI Number: | 1104997899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PY0005298 |
| Business Practice Address: | 10000 Stirling Rd Suite 6 Cooper City, FL - 33024 |
| Business Phone Number: | 9548300976 |
| Business Fax Number: | 9544330603 |
| Mailing Address: | 10400 Griffin Road, Suite 1 COOPER CITY |
| State: | FL |
| Postal Code: | 33328 |
| Phone Number: | 9548300976 |
| Fax Number: | 9544330603 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY0005298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |