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Individual

MRS. VICTORIA P WIDTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
67 BEAVER AVE, SUITE 10, ANNANDALE, NJ 08801-3071
(908) 238-0065
(908) 238-0067
Mailing address
67 BEAVER AVE, SUITE 10, ANNANDALE, NJ 08801-3071
(908) 238-0065
(908) 238-0067

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100389600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007829416
AETNA
NJ
01
2101642
CIGNA BEHAVIORAL HEALTH
NJ
Enumeration date
12/20/2005
Last updated
07/08/2007
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