Organization
DR. MICHELLE C WINSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE C WINSTON PSY.D. (PRESIDENT)
(303) 444-1655
Entity
Organization
Contact information
Practice address
6375 EAGLE COURT, NIWOT, CO 80503-8331
(303) 444-1655
(303) 444-8781
Mailing address
PO BOX 21405, BOULDER, CO 80308-4405
(303) 444-1655
(303) 444-8781
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1314
CO
103T00000X
Psychologist
1314
CO
103TC0700X
Clinical Psychologist
1314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07131402
—
CO
Enumeration date
09/15/2006
Last updated
12/17/2015
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