Provider Demographics
NPI:1598987349
Name:WINREB, JUDY (MA, MFT, LADC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:WINREB
Suffix:
Gender:F
Credentials:MA, MFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 S RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2540
Mailing Address - Country:US
Mailing Address - Phone:702-362-0860
Mailing Address - Fax:702-835-9301
Practice Address - Street 1:5940 S RAINBOW BLVD # D
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2540
Practice Address - Country:US
Practice Address - Phone:702-362-0860
Practice Address - Fax:702-835-9301
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0716106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist