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General NPI Number Information
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NPI Number | 1881194181
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Entity Type | Organization
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Legal Business Name | GALADRIEL WINSTEAD PSYD LLC
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 101 N LYNNHAVEN RD SUITE 302
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7523
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Country | US
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Telephone | 757-486-6955
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Fax | 757-486-3258
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Provider Business Mailing Address
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Address Line | 101 N LYNNHAVEN RD SUITE 302
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7523
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Country | US
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Telephone | 757-486-6955
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Fax | 757-486-3258
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | DR. GALADRIEL SALINA WINSTEAD
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Credential | PSY.D.
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Telephone | 757-486-6955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004332
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License Number State | VA
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