Individual
DR. RICHARD JOSEPH IEVOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
401 E LOUTHER ST STE 209, CARLISLE, PA 17013-2647
(610) 940-0951
Mailing address
25 FORSYTHIA CT, LAFAYETTE HILL, PA 19444-2511
(610) 940-0951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004045-L
PA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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