Provider Demographics
NPI:1730519000
Name:WINFILD, DEE
Entity type:Individual
Prefix:MS
First Name:DEE
Middle Name:
Last Name:WINFILD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 E CHESAPEAKE BEACH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OWINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20736-3535
Mailing Address - Country:US
Mailing Address - Phone:443-607-6207
Mailing Address - Fax:443-607-6208
Practice Address - Street 1:113 E CHESAPEAKE BEACH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:OWINGS
Practice Address - State:MD
Practice Address - Zip Code:20736-3535
Practice Address - Country:US
Practice Address - Phone:443-607-6207
Practice Address - Fax:443-607-6208
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1644101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD415894600Medicaid