Individual
DR. VASHTI S. WINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
100 S MAIN ST, SUITE 208, SAYVILLE, NY 11782-3100
(631) 626-6217
Mailing address
11 DANAMARIE LN, EAST PATCHOGUE, NY 11772-5609
(631) 626-6217
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
08/13/2015
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