Provider Demographics
NPI:1952137804
Name:HAIGH, VICTORIA (LAPC, MA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HAIGH
Suffix:
Gender:F
Credentials:LAPC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1606
Mailing Address - Country:US
Mailing Address - Phone:352-235-5870
Mailing Address - Fax:
Practice Address - Street 1:550 PINETOWN RD STE 430
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2609
Practice Address - Country:US
Practice Address - Phone:610-615-0531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000498101YM0800X
2871225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist