Provider Demographics
NPI:1669614970
Name:WINDLE, MAUREEN ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:ANN
Last Name:WINDLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:THE JAMES A TAYLOR STUDENT HEALTH SERVICES CLB # 7470
Mailing Address - Street 2:UNC-CHAPEL HILL
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-3658
Mailing Address - Fax:919-966-4605
Practice Address - Street 1:THE JAMES A TAYLOR STUDENT HEALTH SERVICES CLB # 7470
Practice Address - Street 2:UNC-CHAPEL HILL
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-3658
Practice Address - Fax:919-966-4605
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1989103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling