Individual
NICOLE HOWARD WINTERHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 5TH STREET, STATESVILLE, NC 28677
(704) 502-8164
Mailing address
133 WEE SKI WAY, TROUTMAN, NC 28166-7649
(704) 502-8164
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2339
NC
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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