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Contact Information

VINSON PSYCHOLOGICAL SERVICES, PLLC
4236 SHERLIE WEAVIL RD
WINSTON-SALEM, NC27107
 Phone: 336-972-1164
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for VINSON PSYCHOLOGICAL SERVICES, PLLC

NPI # 1447592209
LBN Legal business name VINSON PSYCHOLOGICAL SERVICES, PLLC
Authorized official MARTHA VINSON - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2013
Last updated 05/29/2013 - About 13 years ago
Identifiers
NC License # 1596
NC Medicaid 6006146
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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