| Victoria Christofi, Ph.d., Inc. | |
|
1530 Sw 119th St Unit 105 Oklahoma City OK 73170-4938 | |
| (405) 676-8927 | |
| (405) 676-8860 |
| Full Name | Victoria Christofi, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1530 Sw 119th St Unit 105, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Victoria Christofi (PSYCHOLOGIST) |
| Authorized Official Contact | 4056768927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Christofi, Ph.d., Inc. 1530 Sw 119th St Unit 105 Oklahoma City OK 73170-4938 Ph: (405) 676-8927 | Victoria Christofi, Ph.d., Inc. 1530 Sw 119th St Unit 105 Oklahoma City OK 73170-4938 Ph: (405) 676-8927 |
| NPI Number | 1083128847 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Medicare PECOS PAC ID | 3577822923 |
|---|---|
| Medicare Enrollment ID | O20180111000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083128847 | NPI | - | NPPES |
| 200704920A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1012 (Oklahoma) | Primary |
| Provider Name | Victoria Christofi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679809107 PECOS PAC ID: 0547543233 Enrollment ID: I20170202001757 |
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