Provider Demographics
NPI:1770698839
Name:VINCENT, JOHN P (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:VINCENT
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:24 E GREENWAY PLZ
Mailing Address - Street 2:SUITE 1703
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77046-2401
Mailing Address - Country:US
Mailing Address - Phone:713-790-1330
Mailing Address - Fax:713-961-5019
Practice Address - Street 1:24 E GREENWAY PLZ
Practice Address - Street 2:SUITE 1703
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-2401
Practice Address - Country:US
Practice Address - Phone:713-790-1330
Practice Address - Fax:713-961-5019
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX21097103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical