Individual
DR. VICTORIA WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS
Contact information
Practice address
687 MARILYN DR, MANDEVILLE, LA 70448-4729
(985) 502-3452
(985) 624-4866
Mailing address
687 MARILYN DR, MANDEVILLE, LA 70448-4729
(985) 502-3452
(985) 624-4866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810003544
VA
103TC0700X
Clinical Psychologist
636
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
636-000032
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010283078
—
VA
Enumeration date
12/20/2006
Last updated
09/06/2019
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