Doctor Name: | DR. DEVIN PAIGE VICKNAIR |
NPI Number: | 1639253818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD LPC |
License Number: | 003253 |
Business Practice Address: | 5415 Thompson Mill Road Ste B Hoschton, GA - 30548 |
Business Phone Number: | 7708272262 |
Business Fax Number: | 7707838927 |
Mailing Address: | 3004 Mill Grove Ter, DACULA |
State: | GA |
Postal Code: | 300195019 |
Phone Number: | 7708272262 |
Fax Number: | 7707838927 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 003253 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |