Vincent, Douglas J

Vincent, Douglas J is an sole proprietor health care provider with primary practice located at 2023 Route 9 , Round Lake NY 12151-1701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vincent, Douglas J can be contacted via phone (518) 877-5301.

Contact Information

Primary practice address
2023 Route 9 Round Lake NY 12151-1701
Fax: (518) 877-5302
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053428-1 New York

Profile Details

NPI number 1922209485
LBN Legal business name Vincent, Douglas J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Jul 9th, 2007 - about 17 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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