NPI 1386130292 · live from the CMS NPI Registry
Alicia A Victory, Psyd, LLC
Psychologist, Clinical in Columbia, TN. National Provider Identifier 1386130292, active.
NPI record
| NPI | 1386130292 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 101 Walnut Ln, Columbia, TN 38401 |
| Practice phone | 615-625-2117 |
| Mailing address | Po Box 5777, Maryville, TN 37802 |
| Enumerated | July 3, 2018 |
| Last updated | September 4, 2018 |
| Authorized official | Alicia Victory, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 3279 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.