Individual
VINCENT C BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 KENSINGTON PASS, COLTS NECK, NJ 07722-1777
(732) 522-9210
Mailing address
12 KENSINGTON PASS, COLTS NECK, NJ 07722-1777
(732) 522-9210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012704
NY
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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