Provider Demographics
NPI:1730808247
Name:HUFFMAN, VICTORIA (MA-SLP, CCC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MA-SLP, CCC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:VASTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:VASTINE
Mailing Address - Street 1:1116 SARASUE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-6444
Mailing Address - Country:US
Mailing Address - Phone:740-381-6297
Mailing Address - Fax:
Practice Address - Street 1:7 TIGER DR
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-8704
Practice Address - Country:US
Practice Address - Phone:740-947-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.15481235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist