Provider Demographics
NPI:1447402284
Name:WINEMAN, ANDREW MARTIN
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:MARTIN
Last Name:WINEMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 BROWN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-5128
Mailing Address - Country:US
Mailing Address - Phone:781-893-0453
Mailing Address - Fax:781-893-0453
Practice Address - Street 1:133 BROWN ST APT 1
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-5128
Practice Address - Country:US
Practice Address - Phone:781-893-0453
Practice Address - Fax:781-893-0453
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor