Provider Demographics
NPI:1336474030
Name:SAYLES, VICTORIA R (MA, LPC, CACD)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:R
Last Name:SAYLES
Suffix:
Gender:F
Credentials:MA, LPC, CACD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 STUMP RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9645
Mailing Address - Country:US
Mailing Address - Phone:215-348-9300
Mailing Address - Fax:215-279-8453
Practice Address - Street 1:1060 ALMSHOUSE RD
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1116
Practice Address - Country:US
Practice Address - Phone:215-858-3607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005029101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional