Provider Demographics
NPI:1083128847
Name:VICTORIA CHRISTOFI, PH.D., INC.
Entity Type:Organization
Organization Name:VICTORIA CHRISTOFI, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOFI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-676-8927
Mailing Address - Street 1:1530 SW 119TH ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-4938
Mailing Address - Country:US
Mailing Address - Phone:405-676-8927
Mailing Address - Fax:405-676-8860
Practice Address - Street 1:1530 SW 119TH ST UNIT 105
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-4938
Practice Address - Country:US
Practice Address - Phone:405-676-8927
Practice Address - Fax:405-676-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-30
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1012103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200704920AMedicaid