Individual
DR. CHRISTOPHER D LAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1400 E SHERMAN AVE, COEUR D ALENE, ID 83814-4044
(208) 966-4206
Mailing address
1400 E SHERMAN AVE, COEUR D ALENE, ID 83814-4044
(208) 966-4206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
972
MT
103T00000X
Psychologist
Primary
PSY-203139
ID
Other
Enumeration date
01/13/2010
Last updated
03/14/2022
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