Organization
VINCENT P. VECERA
Active
Other names
Phobia & Anxiety Ctr Consulting Psychologists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT P VECERA HSPP (OWNER)
(765) 966-1180
Entity
Organization
Contact information
Practice address
600 E MAIN ST, STE 2, RICHMOND, IN 47374-4300
(765) 966-1180
(765) 966-4626
Mailing address
600 E MAIN ST, STE 2, RICHMOND, IN 47374-4300
(765) 966-1180
(765) 966-4626
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20050003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189142
ANTHEM
IN
01
—
060245000
MAGELLAN HEALTH
IN
05
—
100425720
—
IN
Enumeration date
05/14/2007
Last updated
04/24/2014
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