Gottfried, Victoria Marie

Gottfried, Victoria Marie is an individual health care provider with primary practice located at 513 Madison Ave , Covington KY 41011-1562. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gottfried, Victoria Marie can be contacted via phone (859) 331-3292.

Contact Information

Primary practice address
513 Madison Ave Covington KY 41011-1562
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3929 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1500401 Ohio

Profile Details

NPI number 1396113593
LBN Legal business name Gottfried, Victoria Marie
Credentials LCSW, LISW, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2015
Last updated Dec 23rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396113593 NPPES
Kentucky Other 610661458 TAX ID

Popular Providers