Provider Demographics
NPI:1437463296
Name:WINTER, HAWLEY (MA, LMFT, CEDS)
Entity type:Individual
Prefix:
First Name:HAWLEY
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:MA, LMFT, CEDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7660-H FAY AVENUE
Mailing Address - Street 2:#210
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-243-1010
Mailing Address - Fax:858-455-9181
Practice Address - Street 1:5190 GOVERNOR DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-2848
Practice Address - Country:US
Practice Address - Phone:858-243-1010
Practice Address - Fax:858-455-9181
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-536106H00000X
CAMFC 48702106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist