Healthcare Provider Details

I. General information

NPI: 1306175245
Provider Name (Legal Business Name): DIANE L WINTER NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2009
Last Update Date: 12/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 WASHINGTON RD
MC MURRAY PA
15317-2534
US

IV. Provider business mailing address

4150 WASHINGTON RD
MC MURRAY PA
15317-2534
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4126
  • Fax: 724-941-4911
Mailing address:
  • Phone: 724-941-4126
  • Fax: 724-941-4911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005143
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: