Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH VICENCIO, PSYD
ActiveKENNETH VICENCIO, PSYD is a Clinical Neuropsychologist healthcare provider located in ORLAND PARK, Illinois. NPI 1891211710 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · ORLAND PARK, IL
Registration Details
- NPI Number
- 1891211710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2017 (8.9688141290985 yrs)
- Last Updated
- Sep 27, 2022
- License
-
071009682 (IL)
Practice Information
- Address
-
10730 W 143RD ST STE 37ORLAND PARK, IL, 604621940Browse IL providers · Browse ZIP 60462
- Phone
- 8005640863
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Other Clinical Neuropsychologist Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ROY GILLILAND | PHD | 1295700680 |
| DR. VALERIE L. SCARAMELLA-NOWINSKI | PSY.D. | 1750413126 |
| DR. JACQUELINE GRACE REA | PHD, ABPP-CN | 1487829867 |
| JAMIE WALTER | PSYD | 1730470444 |
| LAUREN CRISANTI | PH.D. | 1659824928 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.