Provider Demographics
NPI:1942560354
Name:SCHAUS, VICTORIA LESLIE (MS MHC INTERN)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LESLIE
Last Name:SCHAUS
Suffix:
Gender:F
Credentials:MS MHC INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 16TH ST. SOUTH
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705
Mailing Address - Country:US
Mailing Address - Phone:727-327-7656
Mailing Address - Fax:727-896-1426
Practice Address - Street 1:1001 16TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2231
Practice Address - Country:US
Practice Address - Phone:727-327-7656
Practice Address - Fax:727-896-1426
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-18
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor