Provider Demographics
NPI:1679809107
Name:CHRISTOFI, VICTORIA (PHD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:CHRISTOFI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 SW 119TH ST UNIT 105
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-4938
Mailing Address - Country:US
Mailing Address - Phone:405-676-8927
Mailing Address - Fax:405-676-8860
Practice Address - Street 1:1530 SW 119TH ST UNIT 105
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-4938
Practice Address - Country:US
Practice Address - Phone:405-676-8927
Practice Address - Fax:405-676-8860
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1012103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling