Provider Demographics
NPI:1841439882
Name:WINNER, JANINE MARY (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:MARY
Last Name:WINNER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JANINE
Other - Middle Name:MARY
Other - Last Name:RINDERLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:675 EXTON CMNS
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2446
Mailing Address - Country:US
Mailing Address - Phone:610-350-1112
Mailing Address - Fax:
Practice Address - Street 1:675 EXTON CMNS
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2446
Practice Address - Country:US
Practice Address - Phone:610-350-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017926103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist