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Individual

GARY TYLER LEFEVOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-1624
(435) 797-3401
(844) 308-5865
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-3401
(844) 308-5865

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
11642799-2501
UT
103TC1900X
Counseling Psychologist

Other

Enumeration date
02/07/2017
Last updated
03/13/2024
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