Dominic Vachon in South Bend - Clinical

Dominic Vachon - NPI 1336224781

Dominic Vachon is a Clinical in South Bend, Indiana. Dominic Vachon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dominic Vachon is 1336224781. The last update date is 2007-07-08.

Dominic Vachon's current location address is 837 Cedar St, South Bend, Indiana. You can contact this provider via phone number 5742377338 and fax number 5742377881. The mailing address for Dominic Vachon is 837 Cedar St, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominic Vachon
Address 837 Cedar St, South Bend, Indiana
Phone Number 5742377338
Fax Number 5742377881
Sole Proprietor N
Credentials PHD.

NPI Number Detail

NPI Number 1336224781
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 837 Cedar St
City South Bend
State Indiana (IN)
Post Code 466172069
Phone Number 5742377338
Fax Number 5742377881

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 20040854
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Dominic Vachon

What is the Dominic Vachon's unique identification number?

The Dominic Vachon has been assigned the NPI (National Provider Identifier) Number 1336224781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Dominic Vachon is located?

The Dominic Vachon is situated at the following address: 837 Cedar St, South Bend, IN, 466172069.

What is the Dominic Vachon's specialty and taxonomy code?

The Dominic Vachon's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When was the Dominic Vachon's 1336224781 issued?

The Dominic Vachon's 1336224781 was issued on 2006-10-26.

As of what date were the details related to Dominic Vachon most recently updated or revised?

The information pertaining to Dominic Vachon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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