Provider Demographics
NPI:1578435947
Name:RAGSDELL, VICTORIA (PHD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:RAGSDELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:RAGSDELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:12004 LOG CABIN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-2218
Mailing Address - Country:US
Mailing Address - Phone:502-314-8835
Mailing Address - Fax:
Practice Address - Street 1:12004 LOG CABIN LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-2218
Practice Address - Country:US
Practice Address - Phone:502-314-8835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY129116103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist