Individual
EMILY JANET BADILLO-WINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-6099
(336) 716-5074
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6099
(336) 716-5074
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6588
NC
103TC0700X
Clinical Psychologist
Primary
6588
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2021
Last updated
10/29/2025
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