Provider Demographics
NPI:1508976382
Name:SARANTOPULOS, VICTORIA M (PHD MFT)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:SARANTOPULOS
Suffix:
Gender:F
Credentials:PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 21ST ST SUITE 304
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818
Mailing Address - Country:US
Mailing Address - Phone:916-731-5658
Mailing Address - Fax:916-392-4602
Practice Address - Street 1:2015 21ST ST SUITE 304
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818
Practice Address - Country:US
Practice Address - Phone:916-731-5658
Practice Address - Fax:916-392-4602
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23172106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist