MEDICARE: DR. VICTORIA E TODD PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY200001620	DC
2	103TC0700X	Clinical Psychologist	07168	MD
3	103TC0700X	Clinical Psychologist	0810008626	VA
4	103T00000X	Psychologist	0810008626	VA

General Provider Information

NPI Number	:	1295629590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA E TODD PSYD

Provider Business Mailing Address
First Line	:	3300 GALLOWS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3307
Country	:	US
Telephone Number	:	571-623-3500
Fax Number	:	703-776-4028

Provider Business Practice Location Address
First Line	:	3300 GALLOWS RD
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-3307
Country	:	US
Telephone Number	:	571-623-3500
Fax Number	:	703-776-4028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	04/07/2026

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