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NPI Code Detail

MEDICARE: VICTORIA LEE DIPINTO MS, LPC, NCC

MEDICARE: VICTORIA LEE DIPINTO MS, LPC, NCC
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
1101YM0800XMental Health CounselorPA
2101YP2500XProfessional CounselorPC014831PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11649836198OTHERPACOMMERCIAL INSURANCE ISSUER

General Provider Information

NPI Number : 1639750003
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LEE DIPINTO MS, LPC, NCC
Provider Business Mailing Address
First Line : PO BOX 748465
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8465
Country : US
Telephone Number : 855-284-7483
Fax Number :
Provider Business Practice Location Address
First Line : 1800 JOHN F KENNEDY BLVD STE 1404
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-7417
Country : US
Telephone Number : 215-398-6600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2021
Last Update Date : 07/05/2023

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