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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AVITA INTEGRATIVE CARE, LLC

Active Organization

AVITA INTEGRATIVE CARE, LLC is a Clinical Psychologist organization located in FORT LEE, New Jersey. NPI 1821530148 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FORT LEE, NJ

Registration Details

NPI Number
1821530148
Provider Type
Organization
NPI Issued
Nov 17, 2016 (9.7344500954075 yrs)
Last Updated
Jun 13, 2022
Licenses
0450041113 (NJ)
021116 (NY)
0450041113 (NJ)

Practice Information

Address
440 WEST ST STE 312
FORT LEE, NJ, 070245028
Browse NJ providers · Browse ZIP 07024
Phone
8882422732
Fax
8882422732
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Organizations in FORT LEE, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.