Provider Demographics
NPI:1730864695
Name:GULCHENKO, VICTORIYA (MS, CF-SLP/RPE-SLP)
Entity type:Individual
Prefix:MRS
First Name:VICTORIYA
Middle Name:
Last Name:GULCHENKO
Suffix:
Gender:F
Credentials:MS, CF-SLP/RPE-SLP
Other - Prefix:MISS
Other - First Name:VICTORIYA
Other - Middle Name:
Other - Last Name:MOSKALYUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2868 LONDONDERRY DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-1319
Mailing Address - Country:US
Mailing Address - Phone:916-910-5587
Mailing Address - Fax:
Practice Address - Street 1:4987 GOLDEN FOOTHILL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9364
Practice Address - Country:US
Practice Address - Phone:916-365-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist