Provider Demographics
NPI:1023666112
Name:AVALOS-FUENTES, NATALIE EUGENIA (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:EUGENIA
Last Name:AVALOS-FUENTES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S MAIN ST STE 210B
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2354
Mailing Address - Country:US
Mailing Address - Phone:831-796-6065
Mailing Address - Fax:
Practice Address - Street 1:1000 S MAIN ST STE 210B
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2354
Practice Address - Country:US
Practice Address - Phone:831-796-6065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist