Shanks, Vincent

Shanks, Vincent is an sole proprietor health care provider with primary practice located at 44415 Kingston Dr , Temecula CA 92592-5621. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Shanks, Vincent can be contacted via phone (951) 265-0809.

Contact Information

Primary practice address
44415 Kingston Dr Temecula CA 92592-5621
Phone: (951) 265-0809
Fax: (951) 302-2038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1871912949
LBN Legal business name Shanks, Vincent
Credentials PSYM, PSYD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Nov 30th, 2016 - about 8 years ago

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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