Provider Demographics
NPI:1427139260
Name:BUTCHER-WINFREE, JOY ANN (MA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ANN
Last Name:BUTCHER-WINFREE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:RAINELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25962-1064
Mailing Address - Country:US
Mailing Address - Phone:304-438-6188
Mailing Address - Fax:304-438-6819
Practice Address - Street 1:760 HORTON LN
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24739-6755
Practice Address - Country:US
Practice Address - Phone:304-672-2098
Practice Address - Fax:304-384-7231
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV1089103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical