Provider Demographics
NPI:1871163501
Name:GAW, WINSTON
Entity type:Individual
Prefix:
First Name:WINSTON
Middle Name:
Last Name:GAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7044 E THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4049
Mailing Address - Country:US
Mailing Address - Phone:609-456-5625
Mailing Address - Fax:480-795-8812
Practice Address - Street 1:7044 E THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-4049
Practice Address - Country:US
Practice Address - Phone:609-456-5625
Practice Address - Fax:480-795-8812
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging