Individual
DR. MICHELLE DAWN WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4613
(719) 526-7461
(719) 526-7132
Mailing address
1650 COCHRANE CIRCLE, FT CARSON, CO 80913-4613
(719) 526-7461
(719) 526-7132
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3193
CO
Other
Enumeration date
04/12/2006
Last updated
02/26/2025
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