Organization
WINSTED PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WINSTED III PH.D. (MANAGER)
(903) 238-9050
Entity
Organization
Contact information
Practice address
414 N GREEN STREET, LONGVIEW, TX 75601
(903) 238-9050
(903) 238-9051
Mailing address
414 N GREEN STREET, LONGVIEW, TX 75601
(903) 238-9050
(903) 238-9051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095440604
—
TX
05
—
202200602
—
TX
Enumeration date
07/24/2007
Last updated
03/25/2016
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