Ava C Land Phd PA
Psychologist, Clinical in Ocala, FL. Organization (NPI-2).
NPI number1134200074
StatusActive
Last updated in NPPESJan 17, 2012
Details
- NPI
- 1134200074
- Entity type
- Organization (NPI-2)
- Legal business name
- Ava C Land Phd PA
- Organization subpart
- No
- Enumeration date
- Oct 18, 2006
- Last updated
- Jan 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY 4857 | FL | Yes |
Practice location
1135 Ne 8th AveOcala, FL 34470-5368
Phone 352-873-4441
Mailing address
1135 Ne 8th AveOcala, FL 34470-5368
Phone 352-873-4441
Authorized official
Ava C. Land
President
3528734441
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