Individual
DR. ANDREA LAURA KULISH-AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2310 S MIAMI BLVD STE 135, DURHAM, NC 27703-5799
(919) 608-4483
(919) 294-6534
Mailing address
2310 S MIAMI BLVD STE 135, DURHAM, NC 27703-5799
(919) 608-4483
(919) 294-6534
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
06601
MD
103TC0700X
Clinical Psychologist
6221
NC
103TC2200X
Clinical Child & Adolescent Psychologist
06601
MD
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6221
NC
Other
Enumeration date
09/27/2016
Last updated
08/02/2023
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