Provider Demographics
NPI:1255517645
Name:DENDINGER, VICTORIA K (PHD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:K
Last Name:DENDINGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W LINCOLN AVE STE F
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1057
Mailing Address - Country:US
Mailing Address - Phone:714-308-3368
Mailing Address - Fax:
Practice Address - Street 1:202 W LINCOLN AVE STE F
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-1057
Practice Address - Country:US
Practice Address - Phone:714-308-3368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2010-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14055103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical