Victoria Elizabeth Mercer, PH.D.
Individual provider Active NPI Psychologist · Olympic Valley, CA
NPI 1124488549 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1124488549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 28040 (CA)
- Practice address
- 1604 Christy Hill Road
Olympic Valley, CA 96146 - Phone
- (530) 563-6769
- NPI assigned
- Feb 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28040 | CA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 28040 | CA | Yes |
Addresses
Primary practice location
1604 Christy Hill Road
Olympic Valley, CA 96146
Mailing address
PO Box 3713
Olympic Valley, CA 96146-3713
Phone (530) 563-6769
Other providers in Olympic Valley, CA
All providers in Olympic Valley, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.