Provider Demographics
NPI:1861843559
Name:VINCENT, VALERIE ANDREE
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ANDREE
Last Name:VINCENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 MAIN ST
Mailing Address - Street 2:CATHOLIC CHARITIES
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06870
Mailing Address - Country:US
Mailing Address - Phone:203-743-4412
Mailing Address - Fax:203-734-1188
Practice Address - Street 1:120 EAST AVENUE-2ND FLOOR
Practice Address - Street 2:CATHOLIC CHARITIES
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-750-9711
Practice Address - Fax:203-750-9651
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program