Stephen Winston Consulting Corporation | |
610 Santa Monica Blvd Suite 214 Santa Monica CA 90401-1632 | |
(310) 866-2606 | |
(310) 455-1416 |
Full Name | Stephen Winston Consulting Corporation |
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Speciality | Psychologist |
Location | 610 Santa Monica Blvd, Santa Monica, California |
Authorized Official Name and Position | Veronica Sheftz Winston (CFO) |
Authorized Official Contact | 3108662606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stephen Winston Consulting Corporation Po Box 1410 Topanga CA 90290-1410 Ph: (310) 866-2606 | Stephen Winston Consulting Corporation 610 Santa Monica Blvd Suite 214 Santa Monica CA 90401-1632 Ph: (310) 866-2606 |
NPI Number | 1144461690 |
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Provider Enumeration Date | 03/12/2009 |
Last Update Date | 03/12/2009 |
Medicare PECOS PAC ID | 4981758257 |
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Medicare Enrollment ID | O20090820000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144461690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY14856 (California) | Primary |
106H00000X | Marriage & Family Therapist | MFC42941 (California) | Secondary |
Provider Name | Stephen C Winston |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1730204884 PECOS PAC ID: 8224182597 Enrollment ID: I20090820000745 |
Provider Name | Veronica Sheftz Winston |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1447373444 PECOS PAC ID: 1951455229 Enrollment ID: I20240322001207 |
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