Provider Demographics
NPI:1285453308
Name:PRICE, VICTORIA CHRISTINE (AUD)
Entity type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:CHRISTINE
Last Name:PRICE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 48TH AVE N STE 203
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5434
Mailing Address - Country:US
Mailing Address - Phone:843-438-0283
Mailing Address - Fax:844-444-0901
Practice Address - Street 1:950 48TH AVE N STE 203
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5434
Practice Address - Country:US
Practice Address - Phone:843-438-0283
Practice Address - Fax:844-444-0901
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7993231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist