Dr. Brett Anthony Vicario, Ph. D.
Psychologist, Counseling in Eugene, OR. Individual provider (NPI-1).
NPI number1114657129
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1114657129
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brett Anthony Vicario
- Credential
- Ph. D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2022
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 1694 | OR | Yes |
Practice location
374 W 12th AveEugene, OR 97401-1633
Phone 541-829-3105
Mailing address
2597 Garfield StEugene, OR 97405-6401
Phone 541-829-3105
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