Andrea Liz Aguilar, PSYD
Individual provider Active NPI Clinical Psychologist · Gainesville, FL
NPI 1275208779 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1275208779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY11162 (FL)
- Practice address
- 1601 SW Archer Rd
Gainesville, FL 32608-1135 - Phone
- (352) 376-1611
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11162 | FL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY11162 | FL | Yes |
Addresses
Primary practice location
1601 SW Archer Rd
Gainesville, FL 32608-1135
Mailing address
1601 SW Archer Rd
Gainesville, FL 32608-1135
Other providers in Gainesville, FL
- Shreya Rani Aggarwal
- Neha Agnihotri
- Heidi Agostinho
- Anthony B. Agrios
- Catherine Evangelista Aguaviva
- Maria Lucia Aguilar
- Sophia Aguilar
- Johanna Aguilera
- Aguirre Orthodontics PA
- Adela Marieli Aguirre-Alarcon
All providers in Gainesville, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. 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.