Doctor Name: | LIDIA VINCI |
NPI Number: | 1770869349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 070176814 |
Business Practice Address: | 8512 Tuscany Ave #219 Playa Del Rey, CA - 902938158 |
Business Phone Number: | 3109557401 |
Business Fax Number: | |
Mailing Address: | 8512 Tuscany Ave, #219 PLAYA DEL REY |
State: | CA |
Postal Code: | 902938158 |
Phone Number: | 3109557401 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2011 |
NPI Last Update Date: | 10/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 070176814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |