Provider Demographics
NPI:1881093664
Name:WINSTEAD, CAROL I (MT-BC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:I
Last Name:WINSTEAD
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 LAURELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-3670
Mailing Address - Country:US
Mailing Address - Phone:601-953-0693
Mailing Address - Fax:
Practice Address - Street 1:155 LAURELWOOD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-3670
Practice Address - Country:US
Practice Address - Phone:601-953-0693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist