Organization
VGB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCEN BARNES PSY.D (PSYCHOLOGIST)
(605) 760-4382
Entity
Organization
Contact information
Practice address
1505 N SANDERS VALLEY RD, NIXA, MO 65714-7255
(605) 760-4382
Mailing address
1505 N SANDERS VALLEY RD, NIXA, MO 65714-7255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093870875
—
MO
Enumeration date
10/29/2013
Last updated
10/29/2013
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