Stephen G. Vincent in Springfield - Clinical Child & Adolescent

Stephen G. Vincent - NPI 1730394073

Stephen G. Vincent is a Clinical Child & Adolescent in Springfield, Illinois. Stephen G. Vincent practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Stephen G. Vincent is 1730394073. The last update date is 2007-07-08.

Stephen G. Vincent's current location address is 450 S Durkin Dr, Springfield, Illinois. You can contact this provider via phone number 2177931567 and fax number 2177931930. The mailing address for Stephen G. Vincent is 450 S Durkin Dr, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen G. Vincent
Address 450 S Durkin Dr, Springfield, Illinois
Phone Number 2177931567
Fax Number 2177931930
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1730394073
Provider Enumeration Date 2007-05-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 450 S Durkin Dr
City Springfield
State Illinois (IL)
Post Code 627047212
Phone Number 2177931567
Fax Number 2177931930

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 71-3280
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Stephen G. Vincent

What is the Stephen G. Vincent's unique identification number?

The Stephen G. Vincent has been assigned the NPI (National Provider Identifier) Number 1730394073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Stephen G. Vincent is geographically located?

The Stephen G. Vincent is physically situated at the following location: 450 S Durkin Dr, Springfield, IL, 627047212.

What is Stephen G. Vincent's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephen G. Vincent is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1730394073 to Stephen G. Vincent?

The Stephen G. Vincent received its 1730394073 assignment from the Centers for Medicare & Medicaid Services on 2007-05-11.

When was the Stephen G. Vincent's information last updated?

The Stephen G. Vincent's information was last updated on 2007-07-08.

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