Individual
DR. LARRY ANTHONY IVERY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
170 FRANK LATHAM RD, PINSON, TN 38366-9632
(731) 989-7335
(731) 989-7288
Mailing address
170 FRANK LATHAM, 170 FRANK LATHAM, PINSON, TN 38366
(731) 989-7335
(731) 989-7288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3964
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043663495
—
TN
Enumeration date
08/03/2017
Last updated
07/21/2022
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