Individual
STEVEN D VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Mailing address
445 CLINIC DR, MOREHEAD, KY 40351-1077
(606) 783-6805
(606) 783-6869
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
078
KY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0135
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89000145
—
KY
Enumeration date
05/23/2006
Last updated
05/27/2008
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