Provider Demographics
NPI:1316337900
Name:RAYMOND, VICTORIA CLAIRE ELF (PHD LMFT)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:CLAIRE ELF
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18851 NE 29TH AVE
Mailing Address - Street 2:SUITE 740
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2808
Mailing Address - Country:US
Mailing Address - Phone:305-915-5748
Mailing Address - Fax:
Practice Address - Street 1:3029 NE 188TH ST
Practice Address - Street 2:UNIT 906
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2989
Practice Address - Country:US
Practice Address - Phone:561-251-7347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2859106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist