Vinson Psychological Services, Pllc | |
4236 Sherlie Weavil Rd Winston Salem NC 27107 | |
(336) 972-1164 | |
Not Available |
Full Name | Vinson Psychological Services, Pllc |
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Speciality | Psychologist - Rehabilitation |
Location | 4236 Sherlie Weavil Rd, Winston Salem, North Carolina |
Authorized Official Name and Position | Martha Anne Vinson (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 3369721164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vinson Psychological Services, Pllc 4236 Sherlie Weavil Rd Winston-salem NC 27107 Ph: (336) 972-1164 | Vinson Psychological Services, Pllc 4236 Sherlie Weavil Rd Winston Salem NC 27107 Ph: (336) 972-1164 |
NPI Number | 1447592209 |
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Provider Enumeration Date | 03/20/2013 |
Last Update Date | 05/29/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447592209 | NPI | - | NPPES |
6006146 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TR0400X | Psychologist - Rehabilitation | 1596 (North Carolina) | Primary |
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