1205008570 NPI number — MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS

Table of content: MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS (NPI 1205008570)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205008570 NPI number — MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHYNE WINKLER
Provider First Name:
MARTHA
Provider Middle Name:
CORNELIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC LICENSED PROFESS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FINGER
Provider Other First Name:
MARTHA
Provider Other Middle Name:
RHYNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1205008570
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4970 HARBOR VIEW DRIVE WEST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANITE FALLS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28630-8693
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-310-4602
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 BULLDOG LANE
Provider Second Line Business Practice Location Address:
WEST ALEXANDER MIDDLE SCHOOL
Provider Business Practice Location Address City Name:
TAYLORSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28681-3354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-495-4611
Provider Business Practice Location Address Fax Number:
828-495-3527
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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