Provider Demographics
NPI:1982967600
Name:SINGER, VICTORIA LYNNE (OT)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:LYNNE
Last Name:SINGER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:900 PROFESSIONAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-5244
Mailing Address - Country:US
Mailing Address - Phone:931-552-3002
Mailing Address - Fax:931-647-8246
Practice Address - Street 1:2812 WAKEFIELD DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6054
Practice Address - Country:US
Practice Address - Phone:931-358-0910
Practice Address - Fax:931-358-3600
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4551225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist