Wilson, Victoria Alexandrovna
Wilson, Victoria Alexandrovna is an sole proprietor health care provider with primary practice located at 62 Summit Ave , Pompton Lakes NJ 07442-1328. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Victoria Alexandrovna can be contacted via phone (973) 831-4242.Contact Information
Primary practice address
62 Summit Ave
Pompton Lakes NJ 07442-1328
Phone: (973) 831-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4927 | New Jersey |
Profile Details
| NPI number | 1245597772 |
|---|---|
| LBN Legal business name | Wilson, Victoria Alexandrovna |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2012 |
| Last updated | Apr 22nd, 2012 - about 12 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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