Provider Demographics
NPI:1659858124
Name:WINFIELD, STEPHANIE (AUD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 MALL DR STE 4
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2550
Mailing Address - Country:US
Mailing Address - Phone:903-792-3986
Mailing Address - Fax:
Practice Address - Street 1:2011 MALL DR STE 4
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2550
Practice Address - Country:US
Practice Address - Phone:903-792-3986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter