| Doctor Name: | JOAN A VAIL |
| NPI Number: | 1013116136 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PY6759 |
| Business Practice Address: | 153 Center Rd Venice, FL - 342855572 |
| Business Phone Number: | 9414975522 |
| Business Fax Number: | 9414975556 |
| Mailing Address: | 153 Center Rd, VENICE |
| State: | FL |
| Postal Code: | 342855572 |
| Phone Number: | 9414975522 |
| Fax Number: | 9414975556 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 07/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |