Provider Demographics
NPI:1194062372
Name:PANNA, VICTORIA PATRICIA (PHD, LPC, ACS, NCC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:PATRICIA
Last Name:PANNA
Suffix:
Gender:
Credentials:PHD, LPC, ACS, NCC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:PATRICIA
Other - Last Name:PANNA LAPPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5232 11TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-2628
Mailing Address - Country:US
Mailing Address - Phone:973-814-7765
Mailing Address - Fax:
Practice Address - Street 1:5232 11TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-2628
Practice Address - Country:US
Practice Address - Phone:913-814-7765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00583100101YP2500X
PAPC008590101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional