Provider Demographics
NPI:1386882777
Name:WINTERMEYER, DANA BOWEN (MED)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:BOWEN
Last Name:WINTERMEYER
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8830 VIRGINIA ST
Mailing Address - Street 2:DEPT. OF REHAB. SERVICES
Mailing Address - City:AMELIA COURT HOUSE
Mailing Address - State:VA
Mailing Address - Zip Code:23002-4826
Mailing Address - Country:US
Mailing Address - Phone:804-561-5611
Mailing Address - Fax:804-561-5533
Practice Address - Street 1:8830 VIRGINIA ST
Practice Address - Street 2:DEPT. OF REHAB. SERVICES
Practice Address - City:AMELIA COURT HOUSE
Practice Address - State:VA
Practice Address - Zip Code:23002-4826
Practice Address - Country:US
Practice Address - Phone:804-561-5611
Practice Address - Fax:804-561-5533
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202000259235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist