Vincent, Stephen G.

Vincent, Stephen G. is an sole proprietor health care provider with primary practice located at 450 S Durkin Dr Ste. C, Springfield IL 62704-7212. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Vincent, Stephen G. can be contacted via phone (217) 793-1567.

Contact Information

Primary practice address
450 S Durkin Dr Ste. C Springfield IL 62704-7212
Phone: (217) 793-1567
Fax: (217) 793-1930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 71-3280 Illinois
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 71-3280 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71-3280 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1999140679 Missouri

Profile Details

NPI number 1730394073
LBN Legal business name Vincent, Stephen G.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 18 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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