| Dr. Michelle C Winston | |
|
6375 Eagle Court Niwot CO 80503-8331 | |
| (303) 444-1655 | |
| (303) 444-8781 |
| Full Name | Dr. Michelle C Winston |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6375 Eagle Court, Niwot, Colorado |
| Authorized Official Name and Position | Michelle C Winston (PRESIDENT) |
| Authorized Official Contact | 3034441655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Michelle C Winston Po Box 21405 Boulder CO 80308-4405 Ph: (303) 444-1655 | Dr. Michelle C Winston 6375 Eagle Court Niwot CO 80503-8331 Ph: (303) 444-1655 |
| NPI Number | 1710083969 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 12/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710083969 | NPI | - | NPPES |
| 07131402 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1314 (Colorado) | Primary |
| 103T00000X | Psychologist | 1314 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1314 (Colorado) | Secondary |
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