Individual
MONIQUE WINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
742 JAMES ST, SYRACUSE, NY 13203-2017
(315) 744-1478
Mailing address
742 JAMES ST, SYRACUSE, NY 13203-2017
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
018869
NY
Other
Enumeration date
02/06/2007
Last updated
11/01/2013
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