Dr. Timothy J Avery
Clinical Psychologist
795 Willow Rd
Menlo Park
, California 94025-2539
Dr. Timothy J Avery
Clinical Psychologist
795 Willow Rd
Menlo Park
, California 94025-2539
(650) 285-3594
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Timothy J Avery
- Po Box 210
- Belmont, CA
- Zip : 94002-0210
- Phone : (650) 285-3594
Second Address
- Dr. Timothy J Avery
- 795 Willow Rd
- Menlo Park, CA
- Zip : 94025-2539
- Phone : (650) 493-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY30580 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY30580 | CA |
National Provider Identifier
| NPI | 1003473984 |
|---|---|
| Provider Name | Dr. Timothy J Avery |
| First Address | Belmont, CA 94002-0210 |
| Second Address | Menlo Park, CA 94025-2539 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2019 |
| Last Update Date | 07/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.