DR. VICTORIA LEE BACON ED.D. NPI 1972669638

NPI Information

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 7/9/2007.

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:

Other Identifiers

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

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