Organization
LAVIOLA PSYCHOLOGICAL SERVICES
Active
Other names
Prism Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LAVIOLA PSYD (OWNER)
(714) 614-5169
Entity
Organization
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
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/28/2022
Last updated
03/31/2022
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