Provider Demographics
NPI:1801003967
Name:WINKELSPECHT, CAMI (PHD)
Entity Type:Individual
Prefix:
First Name:CAMI
Middle Name:
Last Name:WINKELSPECHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 FOXDALE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-1603
Mailing Address - Country:US
Mailing Address - Phone:334-329-0513
Mailing Address - Fax:
Practice Address - Street 1:1415 FOULK RD STE 107
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-2748
Practice Address - Country:US
Practice Address - Phone:334-329-0513
Practice Address - Fax:334-329-0513
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6554103TC2200X
DEB1-0001103103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846675Medicaid