Individual
VICTORIA M. OTHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LP
Contact information
Practice address
3203 W. 3RD AVE., HIBBING, MN 55746
(218) 263-9237
(218) 262-3150
Mailing address
PO BOX 1188, VIRGINIA, MN 55792-1188
(218) 749-2881
(218) 749-3806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5602
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2009
Last updated
12/05/2014
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