Dr. Victoria Bustamante Avellaneda, Psy.D
Psychologist in Clewiston, FL. Individual provider (NPI-1).
NPI number1740297266
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1740297266
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victoria Bustamante Avellaneda
- Credential
- Psy.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PY 5919 | FL | Yes |
Practice location
2100 Riviera AveClewiston, FL 33440-9043
Phone 305-439-6014 · Fax 863-902-1512
Mailing address
2100 Riviera AveClewiston, FL 33440-9043
Phone 305-439-6014 · Fax 863-902-1512
Other practice locations
270 N Bridge St
Labelle, FL 33935-5090
Labelle, FL 33935-5090
Phone 305-439-6014 · Fax 863-902-1512
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