Individual
GAIL ANN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
160 PINEHURST AVE STE J, SOUTHERN PINES, NC 28387-7078
(910) 693-7777
(910) 693-1524
Mailing address
1540 PURDUE DR, SUITE 200, FAYETTEVILLE, NC 28303-5510
(910) 693-7777
(910) 693-1524
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3233
NC
103TC0700X
Clinical Psychologist
PY4102
FL
Other
Enumeration date
07/18/2006
Last updated
07/09/2009
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