Organization
AVELLANEDA PSYCHOLOGICAL SERVIVCES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA BUSTAMANTE AVELLANEDA PSY.D. (PRESIDENT)
(305) 439-6014
Entity
Organization
Contact information
Practice address
270 NORTH BRIDGE STREET, LABELLE, FL 33935
(305) 439-6014
Mailing address
2100 RIVIERA AVE, CLEWISTON, FL 33440-9043
(305) 439-6014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY5919
FL
Other
Enumeration date
04/18/2017
Last updated
11/20/2017
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