Provider Demographics
NPI:1215180013
Name:TOPP, VICKI L (PCC)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:L
Last Name:TOPP
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S WESTVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT HENRY
Mailing Address - State:OH
Mailing Address - Zip Code:45883-9644
Mailing Address - Country:US
Mailing Address - Phone:419-678-1331
Mailing Address - Fax:
Practice Address - Street 1:222 S WEST ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4842
Practice Address - Country:US
Practice Address - Phone:419-222-7180
Practice Address - Fax:419-228-8439
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0002852101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional