Provider Demographics
NPI:1558795781
Name:WINGFIELD, CHRISTINE V (MS, MBA, CEAP)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:V
Last Name:WINGFIELD
Suffix:
Gender:F
Credentials:MS, MBA, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30115 SW 158TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3447
Mailing Address - Country:US
Mailing Address - Phone:305-246-3996
Mailing Address - Fax:
Practice Address - Street 1:30115 SW 158TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3447
Practice Address - Country:US
Practice Address - Phone:305-246-3996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional