Provider Demographics
NPI:1275652505
Name:WINSTONE, CLAIRE LILIAN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:LILIAN
Last Name:WINSTONE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 E PALMDALE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-2034
Mailing Address - Country:US
Mailing Address - Phone:661-208-4223
Mailing Address - Fax:661-272-0438
Practice Address - Street 1:1529 E PALMDALE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2034
Practice Address - Country:US
Practice Address - Phone:661-208-4223
Practice Address - Fax:661-272-0438
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49735106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACBSC119OtherLA DMH PROVIDER
CA00007301Medicaid
CA00007473Medicaid