Provider Demographics
NPI:1518035302
Name:CEFARATTI-MILLER, VICTORIA (PHD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CEFARATTI-MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08827-5409
Mailing Address - Country:US
Mailing Address - Phone:908-537-6815
Mailing Address - Fax:908-537-6400
Practice Address - Street 1:3 MANOR DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08827-5409
Practice Address - Country:US
Practice Address - Phone:908-537-6815
Practice Address - Fax:908-537-6400
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ35S100406800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist