Victoria V Lavigne in Northfield - Clinical Child & Adolescent
Victoria V Lavigne - NPI 1114001690
Victoria V Lavigne is a Clinical Child & Adolescent in Northfield, Illinois. Victoria V Lavigne practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Victoria V Lavigne is 1114001690. The last update date is 2007-07-08.
Victoria V Lavigne's current location address is 778 W Frontage Rd, Northfield, Illinois. You can contact this provider via phone number 8474467184 and fax number 8474467185. The mailing address for Victoria V Lavigne is 778 W Frontage Rd, Northfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victoria V Lavigne |
|---|---|
| Address | 778 W Frontage Rd, Northfield, Illinois |
| Phone Number | 8474467184 |
| Fax Number | 8474467185 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1114001690 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 778 W Frontage Rd |
|---|---|
| City | Northfield |
| State | Illinois (IL) |
| Post Code | 600931209 |
| Phone Number | 8474467184 |
| Fax Number | 8474467185 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 712398 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Victoria V Lavigne by the Centers for Medicare & Medicaid Services (CMS)?
The Victoria V Lavigne has been assigned the NPI (National Provider Identifier) 1114001690. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Victoria V Lavigne?
The Victoria V Lavigne is physically situated at 778 W Frontage Rd, in the city of Northfield, state of IL, with the postal code 600931209.
What is the Victoria V Lavigne's specialty and taxonomy code?
The Victoria V Lavigne's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114001690 to Victoria V Lavigne?
The Victoria V Lavigne received its 1114001690 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the Victoria V Lavigne's information last updated?
The Victoria V Lavigne's information was last updated on 2007-07-08.