Provider Demographics
NPI:1548533219
Name:KUHL, VICTORIA ALICIA (PHD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:ALICIA
Last Name:KUHL
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:PO BOX 5657
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91117-0657
Mailing Address - Country:US
Mailing Address - Phone:310-283-9094
Mailing Address - Fax:
Practice Address - Street 1:2698 MATARO ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3416
Practice Address - Country:US
Practice Address - Phone:626-773-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23105103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist