Provider Demographics
NPI:1700241494
Name:NEFF, VICTORIA LOUISSA
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LOUISSA
Last Name:NEFF
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:VICTORIA
Other - Middle Name:LOUISSA
Other - Last Name:FLANAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 LINDBERGH AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2115
Mailing Address - Country:US
Mailing Address - Phone:715-340-5052
Mailing Address - Fax:
Practice Address - Street 1:320 W GRAND AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54495-2781
Practice Address - Country:US
Practice Address - Phone:715-424-6960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI474 - 228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist