| Patricia Winter Phd Pc | |
|
502 Antero Circle, Suite 1 Buena Vista CO 81211 | |
| (719) 395-8200 | |
| (719) 395-8200 |
| Full Name | Patricia Winter Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 502 Antero Circle, Suite 1, Buena Vista, Colorado |
| Authorized Official Name and Position | Patricia L. Winter (PRESIDENT) |
| Authorized Official Contact | 7192390765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Winter Phd Pc Po Box 1737 502 Antero Circle, Suite 1 Buena Vista CO 81211-1737 Ph: (719) 395-8200 | Patricia Winter Phd Pc 502 Antero Circle, Suite 1 Buena Vista CO 81211 Ph: (719) 395-8200 |
| NPI Number | 1912069576 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 1153218573 |
|---|---|
| Medicare Enrollment ID | O20040301001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912069576 | NPI | - | NPPES |
| 126000 | Other | CO | VALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1962 (Colorado) | Primary |
| Provider Name | Patricia L Winter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720176720 PECOS PAC ID: 9234026667 Enrollment ID: I20050921000551 |
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