Inthavong, Vicky

Inthavong, Vicky is an individual health care provider with primary practice located at Anderson Air Force Base Unit 14010, Apo AP 96543-4003. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Inthavong, Vicky can be contacted via phone (671) 366-5125.

Contact Information

Primary practice address
Anderson Air Force Base Unit 14010 Apo AP 96543-4003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164768743
LBN Legal business name Inthavong, Vicky
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2012
Last updated Oct 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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