Smith, Vonceil Cornelius

Smith, Vonceil Cornelius is an individual health care provider with primary practice located at 6707 Taylor Cir , Montgomery AL 36117-7706. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Smith, Vonceil Cornelius can be contacted via phone (334) 272-3889.

Contact Information

Primary practice address
6707 Taylor Cir Montgomery AL 36117-7706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1811985690
LBN Legal business name Smith, Vonceil Cornelius
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811985690 NPPES
Alabama MEDICAID 890009810
Alabama Other 051514378

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