MEDICARE: DR. CHRISTINE WINKLER PH.D. MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist	9011	CA

General Provider Information

NPI Number	:	1306952940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE WINKLER PH.D. MFT

Provider Business Mailing Address
First Line	:	1840 S ELENA AVE STE 205
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-5717
Country	:	US
Telephone Number	:	310-375-0442
Fax Number	:	310-378-1743

Provider Business Practice Location Address
First Line	:	1840 S ELENA AVE STE 205
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90277-5717
Country	:	US
Telephone Number	:	310-375-0442
Fax Number	:	310-378-1743

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/08/2007

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