Provider Demographics
NPI:1891904041
Name:WINKLER, JOAN (MA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:WINKLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 LAKESIDE DRIVE
Mailing Address - Street 2:2001
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8545
Mailing Address - Country:US
Mailing Address - Phone:775-329-4284
Mailing Address - Fax:775-329-2550
Practice Address - Street 1:6151 LAKESIDE DRIVE
Practice Address - Street 2:2001
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8545
Practice Address - Country:US
Practice Address - Phone:775-329-4284
Practice Address - Fax:775-329-2550
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0524106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist