Provider Demographics
NPI:1346283769
Name:PRATT, VICTORIA M (PHD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:M
Last Name:PRATT
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:9149 MINEOLA CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-8261
Mailing Address - Country:US
Mailing Address - Phone:800-336-3718
Mailing Address - Fax:703-802-7130
Practice Address - Street 1:14225 NEWBROOK DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2228
Practice Address - Country:US
Practice Address - Phone:800-336-3718
Practice Address - Fax:703-802-7130
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA96170OtherABMG