Provider Demographics
NPI:1013357631
Name:WU, VICTORIA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 E MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1516
Mailing Address - Country:US
Mailing Address - Phone:650-539-8429
Mailing Address - Fax:
Practice Address - Street 1:21250 STEVENS CREEK BLVD
Practice Address - Street 2:PSYCHOLOGICAL SERVICES
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-5702
Practice Address - Country:US
Practice Address - Phone:408-864-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program