VINCENT A HOLLISTER

SPECTRUM PSYCHOTHERAPY CENTERS, LLC

Dr VINCENT A HOLLISTER is a male medical professional, specializing in Clinical Social Worker. He graduated in 2012.

Contact

SPECTRUM PSYCHOTHERAPY CENTERS, LLC

30 MAPLE AVE
WINDSOR
CT
060952922

Tel: 8602467999

VINCENT A HOLLISTER Information

Npi 1992121644
Pac Id 9638492978
Professional Enrollment Id I20150311000334
Last Name HOLLISTER
First Name VINCENT
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SPECTRUM PSYCHOTHERAPY CENTERS, LLC
Group Practice Pac Id 8921123589
Number Of Group Practice Members 6
Line 1 Street Address 30 MAPLE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WINDSOR
State CT
Zip Code 060952922
Phone Number 8602467999
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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