Provider Demographics
NPI:1437402757
Name:VINOCOUR, JILL MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:VINOCOUR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:MARIE
Other - Last Name:SWARTWOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:25 BOND ST
Mailing Address - Street 2:SPRINGFIELD VA OUTPATIENT CLINIC
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-3401
Mailing Address - Country:US
Mailing Address - Phone:413-584-4040
Mailing Address - Fax:413-788-4617
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:NORTHAMPTON VA MEDICAL CENTER
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9764
Practice Address - Country:US
Practice Address - Phone:413-584-4040
Practice Address - Fax:413-788-4617
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012036311103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical