Beth A Avolio, PH.D.
Individual provider Active NPI Psychologist · Elkhorn, NE
NPI 1013068246 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1013068246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 011339 (NY)
- Practice address
- 21955 Stanford Cir
Elkhorn, NE 68022-2234 - Phone
- (402) 763-9422
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584 | NE | MD | Clinical Psychologist |
| 011339 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 011339 | NY | Yes |
| Clinical Psychologist | 103TC0700X | 584 | NE |
Addresses
Primary practice location
21955 Stanford Cir
Elkhorn, NE 68022-2234
Mailing address
21955 Stanford Cir
Elkhorn, NE 68022-2234
Phone (402) 763-9422
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.