| Phobia & Anxiety Ctr Consulting Psychologists | |
|
600 E Main St Ste 2 Richmond IN 47374-4300 | |
| (765) 966-1180 | |
| (765) 966-4626 |
| Full Name | Phobia & Anxiety Ctr Consulting Psychologists |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 600 E Main St, Richmond, Indiana |
| Authorized Official Name and Position | Vincent P Vecera (OWNER) |
| Authorized Official Contact | 7659661180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phobia & Anxiety Ctr Consulting Psychologists 600 E Main St Ste 2 Richmond IN 47374-4300 Ph: (765) 966-1180 | Phobia & Anxiety Ctr Consulting Psychologists 600 E Main St Ste 2 Richmond IN 47374-4300 Ph: (765) 966-1180 |
| NPI Number | 1861607715 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861607715 | NPI | - | NPPES |
| 000000189142 | Other | IN | ANTHEM |
| 100425720 | Medicaid | IN | |
| 060245000 | Other | IN | MAGELLAN HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20050003A (Indiana) | Primary |
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