Provider Demographics
NPI:1265842454
Name:WINIKATES, CATHERINE LESLIE (PSYD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LESLIE
Last Name:WINIKATES
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF TEXAS AT ARLINGTON
Mailing Address - Street 2:303 RANSOM HALL
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76019-0001
Mailing Address - Country:US
Mailing Address - Phone:817-272-3671
Mailing Address - Fax:817-272-5523
Practice Address - Street 1:UNIVERSITY OF TEXAS AT ARLINGTON
Practice Address - Street 2:303 RANSOM HALL
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76019-0001
Practice Address - Country:US
Practice Address - Phone:817-272-3671
Practice Address - Fax:817-272-5523
Is Sole Proprietor?:No
Enumeration Date:2014-04-28
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36615103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist