Individual
DR. NICOLE RENEE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
455 S MAIN ST, CHOC - DEPARTMENT OF PEDIATRIC PSYCHOLOGY, ORANGE, CA 92868-3835
(714) 532-8483
(714) 532-8756
Mailing address
455 S MAIN ST, CHOC - DEPARTMENT OF PEDIATRIC PSYCHOLOGY, ORANGE, CA 92868-3835
(714) 532-8483
(714) 532-8756
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PSY 16341
CA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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