Individual
DR. MARK DOUGLAS WINBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5050 POPLAR AVE, SUITE 1633, MEMPHIS, TN 38157-0101
(901) 766-1890
(901) 766-1890
Mailing address
5050 POPLAR AVE, SUITE 1633, MEMPHIS, TN 38157-0101
(901) 766-1890
(901) 766-1890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1316
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3680904
—
TN
Enumeration date
09/03/2006
Last updated
07/08/2007
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