Provider Demographics
NPI:1376681403
Name:CONSIDINE, WINONA (PSYD)
Entity Type:Individual
Prefix:
First Name:WINONA
Middle Name:
Last Name:CONSIDINE
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:PAPAGO ELEMENTARY SCHOOL
Mailing Address - Street 2:2013 N. 36TH ST.
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008
Mailing Address - Country:US
Mailing Address - Phone:602-381-6106
Mailing Address - Fax:602-381-6118
Practice Address - Street 1:CREIGHTON ELEMENTARY SCHOOL DISTRICT
Practice Address - Street 2:2702 E. FLOWER
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-381-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3814103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist