Provider Demographics
NPI:1740788157
Name:MYERS, VICTORIA (CDC-A)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:MYERS
Suffix:
Gender:F
Credentials:CDC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 1/2 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1619
Mailing Address - Country:US
Mailing Address - Phone:740-420-9490
Mailing Address - Fax:
Practice Address - Street 1:101 1/2 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1619
Practice Address - Country:US
Practice Address - Phone:740-420-9490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator