Doctor Name: | ELISHA WINTCH |
NPI Number: | 1821230160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S |
License Number: | 4063265 |
Business Practice Address: | 350 W. Sahuarita Rd Sahuarita, AZ - 85629 |
Business Phone Number: | 5206253502 |
Business Fax Number: | 5203937038 |
Mailing Address: | 350 W. Sahuarita Rd, SAHUARITA |
State: | AZ |
Postal Code: | 85629 |
Phone Number: | 5206253502 |
Fax Number: | 5203937038 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 4063265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |