DR. VICTORIA LEE BACON ED.D. NPI 1972669638

NPI Information

  • NPI: 1972669638
  • Provider Name: DR. VICTORIA LEE BACON, ED.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 55 KING PHILIP RD
    NORTON, MA
    ZIP 02766
  • Phone: (508) 285-4622

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NPI Details

DR. Victoria Lee Bacon, ED.D. is a health service psychologist in Norton, MA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). DR. Victoria Lee Bacon, ED.D. NPI is 1972669638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 KING PHILIP RD
NORTON, MA
ZIP 02766-021
Phone: (508) 285-4622
Fax: (508) 285-4622

The enumeration date for this NPI number is 12/28/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist6597MASSACHUSETTSNo
2103TH0100XPsychologistHealth Service6597MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W05244MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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