Organization
PSYCHDOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTEN WINSTON PSYD, LP, LCAC (OWNER/LICENSED PSYCHOLOGIST)
(858) 722-2018
Entity
Organization
Contact information
Practice address
5600 W 95TH ST STE 216, OVERLAND PARK, KS 66207-2968
(913) 601-7317
Mailing address
17864 W 160TH ST, OLATHE, KS 66062-3221
(858) 722-2018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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