Individual
DR. VICTORIA EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 PORTER STREET, #7, SOQUEL, CA 95073
(831) 291-3815
Mailing address
2425 PORTER STREET, #7, SOQUEL, CA 95073
(831) 291-3815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
28965
CA
Other
Enumeration date
07/15/2009
Last updated
03/15/2019
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