Mark Douglas Winborn in Memphis - Clinical
Mark Douglas Winborn - NPI 1316049893
Mark Douglas Winborn is a Clinical in Memphis, Tennessee. Mark Douglas Winborn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Douglas Winborn is 1316049893. The last update date is 2007-07-08.
Mark Douglas Winborn's current location address is 5050 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9017661890 and fax number 9017661890. The mailing address for Mark Douglas Winborn is 5050 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Douglas Winborn |
|---|---|
| Address | 5050 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9017661890 |
| Fax Number | 9017661890 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1316049893 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5050 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381570101 |
| Phone Number | 9017661890 |
| Fax Number | 9017661890 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P1316 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3680904 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Douglas Winborn by the Centers for Medicare & Medicaid Services?
The Mark Douglas Winborn has been assigned the NPI (National Provider Identifier) 1316049893 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark Douglas Winborn?
The Mark Douglas Winborn is situated at 5050 Poplar Ave, in the city of Memphis, state of TN, with the zip code 381570101.
What is Mark Douglas Winborn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Douglas Winborn is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Mark Douglas Winborn receive its 1316049893 assignment from the Centers for Medicare & Medicaid Services?
The Mark Douglas Winborn was assigned its 1316049893 on 2006-09-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mark Douglas Winborn's details last updated?
The information pertaining to the Mark Douglas Winborn, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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