Individual
DR. DIVYA RAVIN NAWALRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1601 SW ARCHER RD, PSYCHOLOGY SERVICE 116-B, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 379-4026
Mailing address
1601 SW ARCHER RD, PSYCHOLOGY SERVICE 116-B, GAINESVILLE, FL 32608-1135
(352) 376-1161
(352) 379-4026
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PY 8419
FL
103TC0700X
Clinical Psychologist
PY 8419
FL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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