Provider Demographics
NPI:1699919423
Name:SINCLAIR, VANESSA RAWLINGS (PSYD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:RAWLINGS
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY
Mailing Address - Street 2:ROOM 2B-151
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-5317
Mailing Address - Country:US
Mailing Address - Phone:718-963-7971
Mailing Address - Fax:718-630-3250
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:ROOM 2B-151
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-5317
Practice Address - Country:US
Practice Address - Phone:718-963-7971
Practice Address - Fax:718-630-3250
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist