Provider Demographics
NPI:1831873314
Name:EDELMAN, VICTORIA (MA, PMH-C)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:EDELMAN
Suffix:
Gender:F
Credentials:MA, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2007
Mailing Address - Country:US
Mailing Address - Phone:856-264-1077
Mailing Address - Fax:
Practice Address - Street 1:255 S 17TH ST STE 1008
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6210
Practice Address - Country:US
Practice Address - Phone:215-840-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health