Doctor Name: | DR. ALISA VOLLMER WINCZE |
NPI Number: | 1548319163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 7356 |
Business Practice Address: | 223 Chief Justice Cushing Hwy Cohasset, MA - 020251391 |
Business Phone Number: | 7812543638 |
Business Fax Number: | |
Mailing Address: | 6 Bonnie Rd, WEYMOUTH |
State: | MA |
Postal Code: | 021902843 |
Phone Number: | 7812543638 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 7356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |