Lefavour, Holli A
Lefavour, Holli A is an individual health care provider with primary practice located at 1026 A Ave Ne , Cedar Rapids IA 52402-5036. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lefavour, Holli A can be contacted via phone (319) 368-5892.Contact Information
Primary practice address
1026 A Ave Ne
Cedar Rapids IA 52402-5036
Phone: (319) 368-5892
Fax: (319) 369-7812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001046 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006600 | Illinois |
Profile Details
| NPI number | 1194741157 |
|---|---|
| LBN Legal business name | Lefavour, Holli A |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 19th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194741157 | NPPES |
| Idaho | MEDICAID | 807269000 |
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