Doctor Name: | MRS. EMILY MARGARET KERLIN VINCENT |
NPI Number: | 1558621714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED, LPC, CT |
License Number: | PC004727 |
Business Practice Address: | 296 Stormfield Dr Harleysville, PA - 194382386 |
Business Phone Number: | 2155137323 |
Business Fax Number: | |
Mailing Address: | 296 Stormfield Dr, HARLEYSVILLE |
State: | PA |
Postal Code: | 194382386 |
Phone Number: | 2155137323 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |