Provider Demographics
NPI:1841498292
Name:ROSARIO, VICTORIA LYNN (BA, MA, MFT)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LYNN
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:BA, MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 500724
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-0724
Mailing Address - Country:US
Mailing Address - Phone:619-990-1981
Mailing Address - Fax:858-679-8890
Practice Address - Street 1:16935 WEST BERNARDO DRIVE
Practice Address - Street 2:108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127
Practice Address - Country:US
Practice Address - Phone:619-990-1981
Practice Address - Fax:858-679-8890
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist