Avery, Kentrell Monique

Avery, Kentrell Monique is an sole proprietor health care provider with primary practice located at 1901 Veterans Memorial Drive U.S. Department Of Veterans Affairs, Temple TX 76504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Avery, Kentrell Monique can be contacted via phone (254) 743-2867.

Contact Information

Primary practice address
1901 Veterans Memorial Drive U.S. Department Of Veterans Affairs Temple TX 76504
Phone: (254) 743-2867
Fax: (254) 743-0304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1217 Louisiana

Profile Details

NPI number 1265785836
LBN Legal business name Avery, Kentrell Monique
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2012
Last updated Oct 14th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265785836 NPPES
Louisiana Other N/A N/A

Popular Providers