1861600959 NPI number — DR. VICTORIA BURGESS HOLROYD LPC, LMHC, PHD

Table of content: DR. VICTORIA BURGESS HOLROYD LPC, LMHC, PHD (NPI 1861600959)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861600959 NPI number — DR. VICTORIA BURGESS HOLROYD LPC, LMHC, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLROYD
Provider First Name:
VICTORIA
Provider Middle Name:
BURGESS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LPC, LMHC, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PALMISANO
Provider Other First Name:
VICTORIA
Provider Other Middle Name:
BURGESS
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC, LMHC, PHD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861600959
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4615 PLEASANT AVE
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23518-2150
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-788-2800
Provider Business Mailing Address Fax Number:
757-788-2800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4615 PLEASANT AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23518-2150
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-788-2800
Provider Business Practice Location Address Fax Number:
757-788-2800
Provider Enumeration Date:
05/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701005563 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 002824 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com