IVY HALL

FAIRFIELD, CA
NPI1548608839
Former NameIVY PAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: CA  26490)
Enumeration Date2013-06-07
Last Update Date2018-04-18
Business Address
DR. IVY HALL PH.D.
103 BODIN CIR BLDG 778
FAIRFIELD, CA 94535-1801
Phone number: 707-437-1814
Mailing Address
DR. IVY HALL PH.D.
103 BODIN CIR BLDG 778
FAIRFIELD, CA 94535-1801
Phone number:
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