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Individual

DR. DAVID C. IVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5502 58TH ST, SUITE 600, LUBBOCK, TX 79414-2000
(806) 797-3020
(806) 792-1506
Mailing address
5502 58TH ST, SUITE 600, LUBBOCK, TX 79414-2087
(806) 797-3020
(806) 792-1506

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25097
TX
106H00000X
Marriage & Family Therapist
3012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036353301
TX
Enumeration date
08/02/2006
Last updated
03/01/2012
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