Individual
LENORA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8751 COLLIN MCKINNEY PKWY STE 1702, MCKINNEY, TX 75070-0231
(469) 519-2705
Mailing address
PO BOX 2391, FRISCO, TX 75034-0044
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37614
TX
Other
Enumeration date
11/23/2020
Last updated
06/26/2021
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