Ivey, David C.

Ivey, David C. is an sole proprietor health care provider with primary practice located at 5502 58Th St Suite 600, Lubbock TX 79414-2000. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ivey, David C. can be contacted via phone (806) 797-3020.

Contact Information

Primary practice address
5502 58Th St Suite 600 Lubbock TX 79414-2000
Phone: (806) 797-3020
Fax: (806) 792-1506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 25097 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3012 Texas

Profile Details

NPI number 1154338820
LBN Legal business name Ivey, David C.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Mar 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154338820 NPPES
Texas MEDICAID 036353301

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