Provider Demographics
NPI:1497843452
Name:SCRIMGER, VICKI E (MFT)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:E
Last Name:SCRIMGER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24050 MADISON ST
Mailing Address - Street 2:# 210 VICKI SCRIMGER MFCC
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-373-2675
Mailing Address - Fax:310-373-6104
Practice Address - Street 1:24050 MADISON ST
Practice Address - Street 2:# 210 VICKI SCRIMGER MFCC
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-373-2675
Practice Address - Fax:310-373-6104
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAML16616106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist