Doctor Name: | MRS. VICTORIA LYNN LUNDBERG |
NPI Number: | 1740559269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPHT |
License Number: | |
Business Practice Address: | 118 Union St Clarksville, TN - 370405115 |
Business Phone Number: | 9316478257 |
Business Fax Number: | |
Mailing Address: | 2156 Bauling Ln, CLARKSVILLE |
State: | TN |
Postal Code: | 370406586 |
Phone Number: | 9318025659 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2011 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |