Provider Demographics
NPI:1477119212
Name:TYDINGS, VICTORIA K (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:K
Last Name:TYDINGS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:VICTORIA
Other - Middle Name:K
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 320886
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32932-0886
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3502 OCEAN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3415
Practice Address - Country:US
Practice Address - Phone:321-450-2404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06109103T00000X
FLPY10257103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist