Provider Demographics
NPI:1124488549
Name:MERCER, VICTORIA ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ELIZABETH
Last Name:MERCER
Suffix:
Gender:F
Credentials:PHD
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 3713
Mailing Address - Street 2:
Mailing Address - City:OLYMPIC VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:96146-3713
Mailing Address - Country:US
Mailing Address - Phone:530-563-6769
Mailing Address - Fax:
Practice Address - Street 1:1604 CHRISTY HILL ROAD
Practice Address - Street 2:
Practice Address - City:OLYMPIC VALLEY
Practice Address - State:CA
Practice Address - Zip Code:96146
Practice Address - Country:US
Practice Address - Phone:530-563-6769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28040103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist