| Doctor Name: | MARY D. VINCITORE |
| NPI Number: | 1376699579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.C.P.C |
| License Number: | LC2165 |
| Business Practice Address: | 107 E Maple Rd Linthicum, MD - 210902513 |
| Business Phone Number: | 4106152387 |
| Business Fax Number: | |
| Mailing Address: | 456 Kingwood Rd, LINTHICUM |
| State: | MD |
| Postal Code: | 210901922 |
| Phone Number: | 4106152387 |
| Fax Number: | |
| NPI Enumeration Date: | 01/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LC2165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |