Most Relevant Information
Provider Data
| NPI Number: | 1003473984 |
| Provider Name: | TIMOTHY J AVERY PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY30580 |
Most Important Dates
| Enumeration Date: | 05/25/2019 |
| Last Updated: | 02/07/2021 |
Provider Practice Location
795 WILLOW RD
MENLO PARK
CA
940252539
Practice Location Phone/Fax
| Phone: | 6504935000 |
| Fax: |
Provider Mailing Location
PO BOX 210
BELMONT
CA
940020210
Provider Mailing Phone/Fax
| Phone: | 6502853594 |
| Fax: |