Whalio Doctors

NPI 1003004854

Edward Lee Winter, MA

Practitioner School Psychologist Fayetteville, WV

Practice location

Address
111 Fayette Ave. Fayette County Schools, Fayetteville, WV 25840
Phone
(304) 574-1176
Fax
(304) 574-3643
Mailing address
304 Circle St, Beckley, WV 25801-3212

Registered specialties

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 21009 (WV)

Registry record

NPI
1003004854
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Oct 2007
Record last updated
5 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.