Organization
DR NICOLE WINTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEE WINTER PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(616) 935-5136
Entity
Organization
Contact information
Practice address
76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL 32082-4655
(616) 935-5136
Mailing address
76 TRAVELER PALM CT, PONTE VEDRA BEACH, FL 32082-4655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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