MEDICARE: ALYSON WINDERBAUM

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1114804283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSON WINDERBAUM

Provider Business Mailing Address
First Line	:	3100 S FEDERAL HWY STE C
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3321
Country	:	US
Telephone Number	:	561-353-8316
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 S FEDERAL HWY STE C
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3321
Country	:	US
Telephone Number	:	561-353-8316
Fax Number	:

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

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “ ALYSON WINDERBAUM ” Practice Location

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