Provider Demographics
NPI:1912180399
Name:WINSLOW, AIDEN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:AIDEN
Middle Name:
Last Name:WINSLOW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PIERREPONT RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1118
Mailing Address - Country:US
Mailing Address - Phone:617-559-0888
Mailing Address - Fax:
Practice Address - Street 1:3 THORNTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1519
Practice Address - Country:US
Practice Address - Phone:617-733-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-09
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4818101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health