Individual
DR. JEFFREY PHILLIP WINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
57 BEDFORD ST STE 230, LEXINGTON, MA 02420
(339) 970-8573
Mailing address
57 BEDFORD ST STE 230, LEXINGTON, MA 02420-4502
(339) 970-8573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10965
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2017
Last updated
02/21/2019
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