Vickery, Donna R

Vickery, Donna R is an individual health care provider with primary practice located at 19 Prospect St , Summit NJ 07901-2530. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vickery, Donna R can be contacted via phone (330) 758-4515.

Contact Information

Primary practice address
19 Prospect St Summit NJ 07901-2530
Fax: (330) 758-5121
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25MA05262400 New Jersey

Profile Details

NPI number 1255373841
LBN Legal business name Vickery, Donna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Mar 31st, 2009 - about 15 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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