Provider Demographics
NPI:1699179911
Name:CATLIN-WALTON, VICTORIA ANNE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
Last Name:CATLIN-WALTON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23742 LYONS AVE UNIT 220132
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91322-0018
Mailing Address - Country:US
Mailing Address - Phone:661-207-1292
Mailing Address - Fax:
Practice Address - Street 1:23742 LYONS AVE #220132
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91322-0018
Practice Address - Country:US
Practice Address - Phone:661-207-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2023-07-17
Deactivation Date:2016-10-10
Deactivation Code:
Reactivation Date:2023-07-12
Provider Licenses
StateLicense IDTaxonomies
CALMFT104766106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist