Individual
AVINA KHIATANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S WARNER RD STE 130, KING OF PRUSSIA, PA 19406-2826
(484) 705-0585
Mailing address
150 S WARNER RD STE 130, KING OF PRUSSIA, PA 19406-2826
(484) 705-0585
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1288
OK
103T00000X
Psychologist
Primary
PS019314
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2013
Last updated
05/16/2024
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