Provider Demographics
NPI:1609465657
Name:VINCENT, JOSIANNE T
Entity type:Individual
Prefix:
First Name:JOSIANNE
Middle Name:T
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 1:53 ROYAL DR APT 199
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3459
Mailing Address - Country:US
Mailing Address - Phone:732-529-5857
Mailing Address - Fax:
Practice Address - Street 1:53 ROYAL DR APT 199
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3459
Practice Address - Country:US
Practice Address - Phone:732-529-5857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker