Provider Demographics
NPI:1063737922
Name:MCERLEAN, VICTORIA CHRISTINE (MS ED)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:CHRISTINE
Last Name:MCERLEAN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 BUCCANEER LN
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2070
Mailing Address - Country:US
Mailing Address - Phone:609-384-5702
Mailing Address - Fax:
Practice Address - Street 1:1046 BUCCANEER LN
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2070
Practice Address - Country:US
Practice Address - Phone:609-384-5702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst