Dr. Andrea Avila, JD, PhD
Psychologist, Clinical in Lincoln, NE. Individual provider (NPI-1).
NPI number1073900528
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1073900528
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrea Avila
- Credential
- JD, PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2015
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1027 | NE | Yes |
| 103TF0200X | Psychologist, Forensic | 1027 | NE |
Practice location
2000 P StLincoln, NE 68503-3630
Phone 402-413-5636
Mailing address
2355 State St Ste 101Salem, OR 97301-4541
Phone 402-413-5636
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