Provider Demographics
NPI:1902668304
Name:MIGLIARINO, VICTORIA MARIE
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARIE
Last Name:MIGLIARINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ALFORD CT
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9289
Mailing Address - Country:US
Mailing Address - Phone:610-462-0231
Mailing Address - Fax:
Practice Address - Street 1:100 ROCKLAND RD
Practice Address - Street 2:SUITE K-1
Practice Address - City:MONTCHANIN
Practice Address - State:DE
Practice Address - Zip Code:19710
Practice Address - Country:US
Practice Address - Phone:302-365-0325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health