Le, Ava

Le, Ava is an individual health care provider with primary practice located at 4001 Highway 104 , Ione CA 95640. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Le, Ava can be contacted via phone (209) 274-4911.

Contact Information

Primary practice address
4001 Highway 104 Ione CA 95640
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32161 California

Profile Details

NPI number 1134720725
LBN Legal business name Le, Ava
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2020
Last updated Nov 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134720725 NPPES
California Other 32161 PSYCHOLOGIST LICENSE

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