MEDICARE: MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS

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	101YP2500X	Professional Counselor	519	NC

General Provider Information

NPI Number	:	1205008570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA CORNELIA RHYNE WINKLER LPC LICENSED PROFESS

Provider Business Mailing Address
First Line	:	4970 HARBOR VIEW DRIVE WEST
Second Line	:
City	:	GRANITE FALLS
State	:	NC
Zip	:	28630-8693
Country	:	US
Telephone Number	:	828-310-4602
Fax Number	:

Provider Business Practice Location Address
First Line	:	85 BULLDOG LANE
Second Line	:	WEST ALEXANDER MIDDLE SCHOOL
City	:	TAYLORSVILLE
State	:	NC
Zip	:	28681-3354
Country	:	US
Telephone Number	:	828-495-4611
Fax Number	:	828-495-3527

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

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/27/2008

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