Provider Demographics
NPI:1659634558
Name:WINANT, MINDY LILLIAN (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:LILLIAN
Last Name:WINANT
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BETH DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3336
Mailing Address - Country:US
Mailing Address - Phone:732-446-2236
Mailing Address - Fax:
Practice Address - Street 1:7 BETH DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3336
Practice Address - Country:US
Practice Address - Phone:732-446-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-17
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist