Individual
DR. KENTRELL MONIQUE AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1901 VETERANS MEMORIAL DRIVE, U.S. DEPARTMENT OF VETERANS AFFAIRS, TEMPLE, TX 76504
(254) 743-2867
(254) 743-0304
Mailing address
1901 VETERANS MEMORIAL DRIVE, U.S. DEPARTMENT OF VETERANS AFFAIRS, TEMPLE, TX 76504
(254) 743-2867
(254) 743-0304
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
LA
Enumeration date
10/19/2012
Last updated
10/14/2013
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