Individual
DR. BILLIE FAYE IVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
(323) 432-5086
Mailing address
4929 WILSHIRE BLVD 510, LOS ANGELES, CA 90010-3820
(562) 904-3999
(855) 688-8746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
18055
CA
Other
Enumeration date
03/12/2007
Last updated
10/19/2015
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