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Organization

JAMES VINCENT, PH.D, CHARTERRED

Active
Other names
Behavioral Support Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES L VINCENT PH.D. (LICENSED PSYCHOLOGIST)
(316) 636-1188
Entity
Organization

Contact information

Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
(316) 636-1190

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
976
KS

Other

Enumeration date
12/29/2016
Last updated
12/29/2016
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