| NPI | 1154338820 |
|---|---|
| Other Name | DAVID CHARLES IVEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 25097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 3012) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-03-01 |