Avni Vyas, Ph.D
Psychologist, Clinical in Southlake, TX. Individual provider (NPI-1).
NPI number1174643282
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1174643282
- Entity type
- Individual (NPI-1)
- Name
- Ms. Avni Vyas
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2007
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31570 | TX | Yes |
| 103T00000X | Psychologist | 31570 | TX |
Practice location
10725 East Southlake Blvd102
Southlake, TX 76092-6457
Phone 817-618-9307 · Fax 817-977-8553
Mailing address
4705 Lafite LnColleyville, TX 76034-1384
Phone 817-618-9307 · Fax 817-977-8553
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