| Doctor Name: | ELIZABETH MARIE VAN WINKLE |
| NPI Number: | 1154679710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 002236 |
| Business Practice Address: | 8303 Dodge St Suite 304 Omaha, NE - 681144108 |
| Business Phone Number: | 4023545048 |
| Business Fax Number: | 4023542585 |
| Mailing Address: | Po Box 10190, VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234500190 |
| Phone Number: | 8004775240 |
| Fax Number: | 7574636572 |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 12/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002236 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |