| Winsted Psychological Services, Pllc | |
|
414 N Green Street Longview TX 75601 | |
| (903) 238-9050 | |
| (903) 238-9051 |
| Full Name | Winsted Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 414 N Green Street, Longview, Texas |
| Authorized Official Name and Position | Donald Winsted (MANAGER) |
| Authorized Official Contact | 9032389050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winsted Psychological Services, Pllc 414 N Green Street Longview TX 75601 Ph: (903) 238-9050 | Winsted Psychological Services, Pllc 414 N Green Street Longview TX 75601 Ph: (903) 238-9050 |
| NPI Number | 1811197080 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 3971680737 |
|---|---|
| Medicare Enrollment ID | O20080404000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811197080 | NPI | - | NPPES |
| 095440604 | Medicaid | TX | |
| 202200602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 30903 (Texas) | Primary |
| Provider Name | Donald Winsted |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679623318 PECOS PAC ID: 9234216094 Enrollment ID: I20080404000198 |
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