Individual
DR. ANNA MARIE VINICOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
22 LAWRENCE AVE STE 304, SMITHTOWN, NY 11787-3619
(631) 366-3686
(631) 224-4992
Mailing address
22 LAWRENCE AVE STE 304, SMITHTOWN, NY 11787-3619
(631) 366-3686
(631) 224-4992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12623
NY
103TC0700X
Clinical Psychologist
12623
NY
Other
Enumeration date
07/10/2007
Last updated
12/22/2010
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