Individual
DR. VICTOR CERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
40 12TH ST, SUITE 222, WHEELING, WV 26003-3279
(304) 232-0190
(304) 232-4682
Mailing address
40 12TH ST, SUITE 222, WHEELING, WV 26003-3279
(304) 232-0190
(304) 232-4682
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
148
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162855000
—
WV
01
—
550709943
FEIN
WV
Enumeration date
09/22/2005
Last updated
10/25/2011
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