Provider Demographics
NPI:1083849137
Name:WINCHESTER, CAROL GHIGLIERI (MS SLP CCC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:GHIGLIERI
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:MS SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7819 BERGAMO AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-4759
Mailing Address - Country:US
Mailing Address - Phone:941-320-8930
Mailing Address - Fax:
Practice Address - Street 1:1885 PORTER LAKE DR # DE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-7893
Practice Address - Country:US
Practice Address - Phone:941-320-8930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2829235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist