Individual
GUADALUPE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5 PROSPECT ST APT 2R, NEW ROCHELLE, NY 10805-2828
(914) 576-3682
Mailing address
5 PROSPECT ST APT 2R, NEW ROCHELLE, NY 10805-2828
(914) 576-3682
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2127083
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58195-9781
—
NY
Enumeration date
09/15/2010
Last updated
09/15/2010
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