Provider Demographics
NPI:1508878745
Name:NAHMIAS, VICTOR R (PHD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:R
Last Name:NAHMIAS
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:4425 E AGAVE RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-0619
Mailing Address - Country:US
Mailing Address - Phone:480-706-6645
Mailing Address - Fax:480-706-6605
Practice Address - Street 1:4425 E AGAVE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-0619
Practice Address - Country:US
Practice Address - Phone:480-706-6645
Practice Address - Fax:480-706-6605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ1051103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical