Provider Demographics
NPI:1740960061
Name:MURDOCK, VICTORIA GAY (PHD, MSW, LCSW, REV)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:GAY
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW, REV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 ROSEMARY CT
Mailing Address - Street 2:
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560-5055
Mailing Address - Country:US
Mailing Address - Phone:540-656-8262
Mailing Address - Fax:
Practice Address - Street 1:217 ROSEMARY CT
Practice Address - Street 2:
Practice Address - City:TAPPAHANNOCK
Practice Address - State:VA
Practice Address - Zip Code:22560-5055
Practice Address - Country:US
Practice Address - Phone:540-656-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY4391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical