Most Relevant Information
Provider Data
| NPI Number: | 1003004854 |
| Provider Name: | EDWARD LEE WINTER MA |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 21009 |
Most Important Dates
| Enumeration Date: | 10/05/2007 |
| Last Updated: | 10/05/2007 |
Provider Practice Location
111 FAYETTE AVE.
FAYETTE COUNTY SCHOOLS
FAYETTEVILLE
WV
25840
Practice Location Phone/Fax
| Phone: | 3045741176 |
| Fax: | 3045743643 |
Provider Mailing Location
304 CIRCLE ST
BECKLEY
WV
258013212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |