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

FERNANDO MANUEL AVILA, PH.D

Active Sole Proprietor

FERNANDO MANUEL AVILA, PH.D is a Clinical Psychologist healthcare provider located in VIENNA, Virginia. NPI 1962783464 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · VIENNA, VA

Registration Details

NPI Number
1962783464
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2011 (14.93336674778 yrs)
Last Updated
Jan 28, 2020
Licenses
RPS 2012468 (CA)
0810005615 (VA)
PSY31410 (CA)
Sole Proprietor
Yes

Practice Information

Address
2671 AVENIR PL
VIENNA, VA, 221807485
Browse VA providers · Browse ZIP 22180
Phone
7032078600
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in VIENNA, VA

Name Credential NPI
DR. HAROLD ALAN KAPLAN PH.D 1679574271
DR. SARAH LISBETH SIRBASKU WILLIAMS PH.D. 1417961756
MERLE R LITOWITZ PH.D. 1992819098
DR. NOEL A GOLDBERG PSY.D. 1497865430
KELLY HEIGES THEIS PH.D 1811093149
DR. PATRICIA VELKOFF PH.D. 1831276179
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.