KENNETH VICENCIO, PSYD
Clinical Neuropsychologist
Active
Individual
NPI: 1891211710
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Yes | 071009682 (IL) |
Frequently Asked Questions
NPI 1891211710 is the National Provider Identifier for KENNETH VICENCIO, PSYD, a Clinical Neuropsychologist provider located in Orland Park, IL. This NPI was enumerated on August 22, 2017.
KENNETH VICENCIO, PSYD practices at 10730 W 143RD ST STE 37, Orland Park, IL 60462.
Quick Facts
- NPI
- 1891211710
- Type
- Individual
- Enumerated
- Aug 22, 2017
- Last Updated
- Sep 27, 2022
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