Individual
DR. DAVID MICHAEL WINECOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3711 SUTHERLAND AVE, KNOXVILLE, TN 37919-4338
(865) 450-9702
(865) 450-9702
Mailing address
3711 SUTHERLAND AVE, KNOXVILLE, TN 37919-4338
(865) 450-9702
(865) 450-9702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P-1465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3684074
—
TN
01
—
4106843
BLUE CROSS PROVIDER #
TN
Enumeration date
04/18/2007
Last updated
01/19/2010
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