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NPI Code Detail

MEDICARE: MRS. VICTORIA LYNN SPRINGGAY MA, LPC

MEDICARE:  MRS. VICTORIA LYNN SPRINGGAY  MA, LPC
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
1101YP2500XProfessional CounselorLPC-12839AZ

General Provider Information

NPI Number : 1700075819
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA LYNN SPRINGGAY MA, LPC
Provider Business Mailing Address
First Line : 201 W GUADALUPE RD STE 314
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3319
Country : US
Telephone Number : 480-558-5112
Fax Number : 480-558-7612
Provider Business Practice Location Address
First Line : 201 W GUADALUPE RD STE 314
Second Line :
City : GILBERT
State : AZ
Zip : 85233-3319
Country : US
Telephone Number : 480-558-5112
Fax Number : 480-558-7612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/15/2007

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Directions to “ MRS. VICTORIA LYNN SPRINGGAY MA, LPC” Practice Location

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