Dr. Stephen G. Vincent
Clinical Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist
450 S Durkin Dr Ste. C
Springfield
, Illinois 62704-7212
Dr. Stephen G. Vincent
Clinical Psychologist Rehabilitation Psychologist Clinical Child & Adolescent Psychologist
450 S Durkin Dr Ste. C
Springfield
, Illinois 62704-7212
(217) 793-1930
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Stephen G. Vincent
- 450 S Durkin Dr Ste. C
- Springfield, IL
- Zip : 62704-7212
- Fax : (217) 793-1930
- Phone : (217) 793-1567
Second Address
- Dr. Stephen G. Vincent
- 450 S Durkin Dr Ste. C
- Springfield, IL
- Zip : 62704-7212
- Fax : (217) 793-1930
- Phone : (217) 793-1567
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 1999140679 | MO |
| N | 103TC0700X | Clinical Psychologist | 1999140679 | MO |
| N | 103G00000X | Clinical Psychologist | 71-3280 | IL |
| N | 103TC0700X | Clinical Psychologist | 71-3280 | IL |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 71-3280 | IL |
| N | 103TR0400X | Rehabilitation Psychologist | 71-3280 | IL |
National Provider Identifier
| NPI | 1730394073 |
|---|---|
| Provider Name | Dr. Stephen G. Vincent |
| First Address | Springfield, IL 62704-7212 |
| Second Address | Springfield, IL 62704-7212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.