Provider Demographics
NPI:1215191622
Name:HEDLEY, VICTORIA H (LM, CPM)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:H
Last Name:HEDLEY
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 HIGHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2022
Mailing Address - Country:US
Mailing Address - Phone:201-505-1214
Mailing Address - Fax:
Practice Address - Street 1:38 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-2022
Practice Address - Country:US
Practice Address - Phone:201-505-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MW00000700176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife