Active NPIIndividual providerSole proprietor

Cleo Winsryg-Wild, MA

Counselor in Vineyard Haven, Massachusetts

NPI Number1043567597
Practice location
111 Edgartown RD, Vineyard Haven, MA 02568-5601
Fax
—
Last updated
August 14, 2012

Cleo Winsryg-Wild is a Counselor based in Vineyard Haven, MA. Cleo Winsryg-Wild practices in Vineyard Haven, MA and has the professional credentials of MA. The NPI Number for Cleo Winsryg-Wild is 1043567597. The current practice location address for Cleo Winsryg-Wild is 111 Edgartown RD, Vineyard Haven, MA 02568-5601 and can be reached out via phone at 508-693-7900.

Provider Profile Details

NPI Number
1043567597
Provider Name
Cleo Winsryg-Wild
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
111 Edgartown RD, Vineyard Haven, MA 02568-5601
Phone Number
508-693-7900
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2012
Last Update Date
August 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Edgartown RD
Vineyard Haven, MA 02568-5601
Zip
02568-5601
Phone Number
508-693-7900
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
16B Forever Wild Way
Edgartown, MA 02539
City
Edgartown
State
MA
Zip
02539
Phone Number
774-563-8289

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cleo Winsryg-Wild, MA?

The NPI number of Cleo Winsryg-Wild, MA is 1043567597. It was assigned on August 14, 2012 and is currently active in the NPPES registry.

What is the specialty of Cleo Winsryg-Wild, MA?

Cleo Winsryg-Wild, MA is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Cleo Winsryg-Wild, MA practice?

The practice location is 111 Edgartown RD, Vineyard Haven, MA 02568-5601. The office can be reached at 508-693-7900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043567597 directly on the NPPES registry website.

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