| Galadriel Winstead, Psy.d., Llc | |
|
120 S Lynnhaven Rd Ste 105 Virginia Beach VA 23452-7419 | |
| (757) 486-6955 | |
| (757) 486-3258 |
| Full Name | Galadriel Winstead, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 120 S Lynnhaven Rd Ste 105, Virginia Beach, Virginia |
| Authorized Official Name and Position | Galadriel Salina Winstead (OWNER AND PROVIDER) |
| Authorized Official Contact | 7574866955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galadriel Winstead, Psy.d., Llc 120 S Lynnhaven Rd Ste 105 Virginia Beach VA 23452-7419 Ph: (757) 486-6955 | Galadriel Winstead, Psy.d., Llc 120 S Lynnhaven Rd Ste 105 Virginia Beach VA 23452-7419 Ph: (757) 486-6955 |
| NPI Number | 1881194181 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 6507127313 |
|---|---|
| Medicare Enrollment ID | O20180219000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881194181 | NPI | - | NPPES |
| 0810004332 | Other | VA | LICENSE NUMBER |
| 1588724231 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004332 (Virginia) | Primary |
| Provider Name | Galadriel S Winstead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588724231 PECOS PAC ID: 8426227430 Enrollment ID: I20110809000359 |
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