MEDICARE: DR. DONALD EUGENE WINSTED III PH.D.

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	103T00000X	Psychologist	3-0903	TX
2	103TC0700X	Clinical Psychologist	30903	TX

General Provider Information

NPI Number	:	1679623318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD EUGENE WINSTED III PH.D.

Provider Business Mailing Address
First Line	:	1616 JUDSON RD STE 5A
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-3653
Country	:	US
Telephone Number	:	903-445-9979
Fax Number	:	903-461-7662

Provider Business Practice Location Address
First Line	:	1616 JUDSON RD STE 5A
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75601-3653
Country	:	US
Telephone Number	:	903-445-9979
Fax Number	:	903-461-7662

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	04/09/2026

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