Individual
DR. KELLY LAFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5476 ROUTE 305, CUBA, NY 14727-9208
(585) 968-2650
Mailing address
5476 ROUTE 305, CUBA, NY 14727-9208
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
022537
NY
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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