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Individual

DR. ANDREA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
JD, PHD

Contact information

Practice address
2000 P ST, LINCOLN, NE 68503-3630
(402) 413-5636
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(402) 413-5636

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1027
NE
103TF0200X
Forensic Psychologist
1027
NE

Other

Enumeration date
04/22/2015
Last updated
08/07/2023
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