Provider Demographics
NPI:1861414864
Name:WINBURY, GAIL E (PSYD)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:E
Last Name:WINBURY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 BRIGHTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3919
Mailing Address - Country:US
Mailing Address - Phone:908-233-6727
Mailing Address - Fax:
Practice Address - Street 1:137 BRIGHTWOOD AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3919
Practice Address - Country:US
Practice Address - Phone:908-233-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2644103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist