Provider Demographics
NPI:1013382738
Name:TOMASSETTI, VICTORIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:TOMASSETTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:TORY
Other - Middle Name:
Other - Last Name:TOMASSETTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:41 UNION SQ W STE 631
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3231
Mailing Address - Country:US
Mailing Address - Phone:917-696-0143
Mailing Address - Fax:
Practice Address - Street 1:41 UNION SQ W STE 631
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3231
Practice Address - Country:US
Practice Address - Phone:917-696-0143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022494103TC1900X
LA1312103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling