Witt, Victoria

Witt, Victoria is an individual health care provider with primary practice located at 687 Marilyn Dr , Mandeville LA 70448-4729. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is her primary health care specialty. Witt, Victoria can be contacted via phone (985) 502-3452.

Contact Information

Primary practice address
687 Marilyn Dr Mandeville LA 70448-4729
Phone: (985) 502-3452
Fax: (985) 624-4866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003544 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 636 Louisiana
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 636-000032 Louisiana

Profile Details

NPI number 1962566356
LBN Legal business name Witt, Victoria
Credentials PHD, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 6th, 2019 - about 5 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 1962566356 NPPES
Virginia MEDICAID 010283078

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