Physician Compare National (NPI:1356337620)

HEALTHCARE PROVIDER: VICTOR CERRA EDD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356337620
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082872577
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140829001972
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CERRA
	Individual professional last name
Provider First Name	VICTOR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	40 12TH ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 222
	Group Practice or individual's line 2 address
City	WHEELING
	Group Practice or individual's city
State	WV
	Group Practice or individual's state
Zip Code	260033279
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3042320190
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y