Healthcare Provider Details

I. General information

NPI: 1437170867
Provider Name (Legal Business Name): VICTORIA S BECKER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 HAMILTON AVE
CINCINNATI OH
45231-5218
US

IV. Provider business mailing address

4500 COOPER RD STE 303
CINCINNATI OH
45242-5600
US

V. Phone/Fax

Practice location:
  • Phone: 513-522-0777
  • Fax: 513-522-4577
Mailing address:
  • Phone: 513-940-7175
  • Fax: 513-940-7176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number5397
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5397
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: