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Contact Information

AVA LE, PSYD
4001 HIGHWAY 104
IONE, CA95640
 Phone: 209-274-4911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AVA LE · (Female)

NPI Number 1134720725
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 11/02/2020
Last updated 11/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 32161
  • CA Other 32161 PSYCHOLOGIST LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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