Provider Demographics
NPI:1780900092
Name:WINKLER, HADASSA (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:HADASSA
Middle Name:
Last Name:WINKLER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 ALTON RD
Mailing Address - Street 2:APT 502
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3854
Mailing Address - Country:US
Mailing Address - Phone:305-674-9738
Mailing Address - Fax:
Practice Address - Street 1:1210 NE 173RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-1233
Practice Address - Country:US
Practice Address - Phone:305-343-0322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 10369235Z00000X
NY018930-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist