Individual
CHARLES WINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10400 GRIFFIN RD STE 101, DAVIE, FL 33328-3320
(954) 436-8326
(954) 434-8572
Mailing address
10400 GRIFFIN RD STE 101, DAVIE, FL 33328-3320
(954) 436-8326
(954) 434-8572
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004966
FL
103TF0200X
Forensic Psychologist
PY0004966
FL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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