Vinick, Barry Alan
Vinick, Barry Alan is an sole proprietor health care provider with primary practice located at 6911 Parkwood Dr , Olive Branch MS 38654-2111. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Vinick, Barry Alan can be contacted via phone (662) 342-2733.Contact Information
Primary practice address
6911 Parkwood Dr
Olive Branch MS 38654-2111
Phone: (662) 342-2733
Fax: (662) 342-5993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P1341 | Tennessee |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 30452 | Mississippi |
Profile Details
| NPI number | 1801853536 |
|---|---|
| LBN Legal business name | Vinick, Barry Alan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Jan 3rd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801853536 | NPPES |
| Mississippi | MEDICAID | 0018297 | |
| Mississippi | MEDICAID | 3682379 |
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