Provider Demographics
NPI:1487929899
Name:PETERS, VICTORIA ELAINE (BC-HIS COHC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ELAINE
Last Name:PETERS
Suffix:
Gender:F
Credentials:BC-HIS COHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 STOCK ST
Mailing Address - Street 2:SUITE 112A
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2266
Mailing Address - Country:US
Mailing Address - Phone:717-698-1541
Mailing Address - Fax:717-698-1430
Practice Address - Street 1:183 S COLDBROOK AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2759
Practice Address - Country:US
Practice Address - Phone:717-504-8459
Practice Address - Fax:717-504-8596
Is Sole Proprietor?:No
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03115237700000X
MD02623237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist