Provider Demographics
NPI:1215260161
Name:AMBRUS, VICTORIA M (PHD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:AMBRUS
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 1761
Mailing Address - Street 2:
Mailing Address - City:MARBLE FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:78654-7761
Mailing Address - Country:US
Mailing Address - Phone:512-553-3846
Mailing Address - Fax:830-953-7990
Practice Address - Street 1:1811A N US HIGHWAY 281
Practice Address - Street 2:BUILDING A, SUITE 6
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-4313
Practice Address - Country:US
Practice Address - Phone:512-553-3846
Practice Address - Fax:830-953-7990
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73632101Y00000X
TX37607103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor