PHYLLIS D IVERY

ROBINS AFB, GA
NPI1649532649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: GA  PSY003523)
Enumeration Date2012-06-14
Last Update Date2012-09-10
Business Address
Dr. PHYLLIS D IVERY Ph.D.
655 7TH ST BLDG 700700-A 78 MDG/SGOW
ROBINS AFB, GA 31098-2227
Phone number: 478-327-8398
Mailing Address
Dr. PHYLLIS D IVERY Ph.D.
217 AMBER DR
BYRON, GA 31008-3876
Phone number: 678-447-7211