Individual
L. INDIA IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
(315) 428-8843
Mailing address
819 S SALINA ST, SYRACUSE, NY 13202-3527
(315) 476-7921
(315) 428-8843
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P62602
NY
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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