Individual
HOLLI A LEFAVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 368-5892
(319) 369-7812
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 368-5892
(319) 369-7812
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001046
IA
103TC0700X
Clinical Psychologist
071006600
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807269000
—
ID
Enumeration date
07/14/2006
Last updated
03/19/2014
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