Individual
DR. VICTORIA BUSTAMANTE AVELLANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2100 RIVIERA AVE, CLEWISTON, FL 33440-9043
(305) 439-6014
(863) 902-1512
Mailing address
2100 RIVIERA AVE, CLEWISTON, FL 33440-9043
(305) 439-6014
(863) 902-1512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 5919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0761575 00
—
FL
Enumeration date
08/01/2006
Last updated
07/21/2022
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