Active NPI
Victoria Dahl, PHD
- Psychologist
- Baltimore, MD
National Provider Identifier
1093383267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06985
- Practice address
- 707 N Broadway
Baltimore, MD 21205-1832 - Phone
- (813) 362-3480
- NPI assigned
- Jun 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 06985 | MD | Primary |
Addresses
Primary practice location
707 N Broadway
Baltimore, MD 21205-1832
Mailing address
115 S Castle St
Baltimore, MD 21231-1919
Phone (813) 362-3480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06985 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1093383267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S CASTLE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311919",
"telephone_number": "813-362-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N BROADWAY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212051832",
"telephone_number": "813-362-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "VICTORIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.