Provider Demographics
NPI:1053745315
Name:TOGNOZZI, VICTORIA LOUISE (MA)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LOUISE
Last Name:TOGNOZZI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 MAPEL LN
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1925
Mailing Address - Country:US
Mailing Address - Phone:916-965-0436
Mailing Address - Fax:
Practice Address - Street 1:4400 MAPEL LN
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-1925
Practice Address - Country:US
Practice Address - Phone:916-965-0436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA#92415106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist