| Doctor Name: | DR. VICTORIA KORGE |
| NPI Number: | 1356788905 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 31115 |
| Business Practice Address: | 65-1206 Mamalahoa Hwy # 1-205 Kamuela, HI - 967437303 |
| Business Phone Number: | 8088857444 |
| Business Fax Number: | 8088850716 |
| Mailing Address: | 65-1206 Mamalahoa Hwy, # 1-205 KAMUELA |
| State: | HI |
| Postal Code: | 967437303 |
| Phone Number: | 8088857444 |
| Fax Number: | 8088850716 |
| NPI Enumeration Date: | 05/22/2013 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 31115 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |