Active NPIIndividual providerSole proprietor

Dr. Andrea Avila, JD, PHD

Psychologist, Clinical in Lincoln, Nebraska

NPI Number1073900528
Practice location
2000 P St, Lincoln, NE 68503-3630
Fax
—
Last updated
August 7, 2023

Dr. Andrea Avila, JD, PHD is a Psychologist, Clinical based in Lincoln, NE. Dr. Andrea Avila, JD, PHD holds the professional credentials of JD, PHD. The NPI number for Dr. Andrea Avila, JD, PHD is 1073900528 and holds license No. 1027 (NE). The current practice location address is 2000 P St, Lincoln, NE 68503-3630 and the office can be reached by phone at 402-413-5636. The NPI was assigned on April 22, 2015 and the record was last updated in NPPES on August 7, 2023.

●Provider Profile Details

NPI Number
1073900528
Provider Name
Andrea Avila
Credential
JD, PHD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Enumeration Date
April 22, 2015
Last Update Date
August 7, 2023
Certification Date
August 7, 2023
NPI Status
Active

◉Business Practice Location Address

Address
2000 P St
Lincoln, NE 68503-3630
ZIP
68503-3630
Country
US
Phone Number
402-413-5636

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✉Business Mailing Address

Address
2355 State St Ste 101
Salem, OR 97301-4541
City
Salem
State
OR
ZIP
97301-4541
Phone Number
402-413-5636

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychologist, Forensic103TF0200XNo1027NE
Psychologist, Clinical103TC0700XYes1027NE

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Andrea Avila, JD, PHD?

The NPI number of Dr. Andrea Avila, JD, PHD is 1073900528. It was assigned on April 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrea Avila, JD, PHD?

Dr. Andrea Avila, JD, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X) and holds license No. 1027 (NE).

Where does Dr. Andrea Avila, JD, PHD practice?

The practice location is 2000 P St, Lincoln, NE 68503-3630. The office can be reached at 402-413-5636 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073900528 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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