Provider Demographics
NPI:1558563775
Name:FERLAUTO, VICTORIA ANDREA (MA)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:ANDREA
Last Name:FERLAUTO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SLEEPY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2281
Mailing Address - Country:US
Mailing Address - Phone:973-838-0608
Mailing Address - Fax:
Practice Address - Street 1:22 RIVERVIEW DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3115
Practice Address - Country:US
Practice Address - Phone:973-628-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00035300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional