Provider Demographics
NPI:1245521087
Name:WRIGHT-ADAMS, VICTORIA ANTOINETTE (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ANTOINETTE
Last Name:WRIGHT-ADAMS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 E WOODLAND AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3969
Mailing Address - Country:US
Mailing Address - Phone:610-328-2700
Mailing Address - Fax:610-328-2711
Practice Address - Street 1:1260 E WOODLAND AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3969
Practice Address - Country:US
Practice Address - Phone:610-328-2700
Practice Address - Fax:610-328-2711
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional