NPI | 1861607715 |
---|---|
Doing Business As | PHOBIA & ANXIETY CTR CONSULTING PSYCHOLOGISTS |
Entity Type | Organization |
Authorized Contact | VINCENT P VECERA Owner 765-966-1180 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20050003A) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2014-04-24 |