Individual
COLLEEN VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP03990
RI
2084N0400X
Neurology Physician
LP03990
RI
2084P0800X
Psychiatry Physician
Primary
042.0016211
VT
2084P0804X
Child & Adolescent Psychiatry Physician
LP03990
RI
Other
Enumeration date
06/07/2017
Last updated
08/25/2022
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