C. Vincent Dix Phd Llc | |
2880 Capital Medical Blvd Suite 2 Tallahassee FL 32308-4671 | |
(850) 878-1142 | |
(850) 222-1194 |
Full Name | C. Vincent Dix Phd Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2880 Capital Medical Blvd, Tallahassee, Florida |
Authorized Official Name and Position | C Vincent Dix (PROVIDER) |
Authorized Official Contact | 8508781142 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C. Vincent Dix Phd Llc 2880 Capital Medical Blvd Suite 2 Tallahassee FL 32308-4671 Ph: () - | C. Vincent Dix Phd Llc 2880 Capital Medical Blvd Suite 2 Tallahassee FL 32308-4671 Ph: (850) 878-1142 |
NPI Number | 1366632812 |
---|---|
Provider Enumeration Date | 07/31/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366632812 | NPI | - | NPPES |
75943 | Other | FL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY002151 (Florida) | Primary |
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