Provider Demographics
NPI:1235616335
Name:RANADE, VICTORIA CHIALY HANG SMITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:CHIALY HANG SMITH
Last Name:RANADE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:CHIALY
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1069 W BROAD ST STE 804
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4610
Mailing Address - Country:US
Mailing Address - Phone:703-923-8965
Mailing Address - Fax:
Practice Address - Street 1:1487 CHAIN BRIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-5723
Practice Address - Country:US
Practice Address - Phone:703-923-8965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005946103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent