Healthcare Provider Details

I. General information

NPI: 1053972570
Provider Name (Legal Business Name): PAIGE J WINTON M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16531 CAPTIVA DR
CAPTIVA FL
33924
US

IV. Provider business mailing address

PO BOX 501
CAPTIVA FL
33924-0501
US

V. Phone/Fax

Practice location:
  • Phone: 561-460-6356
  • Fax:
Mailing address:
  • Phone: 561-460-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA22664
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ11510
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: