Phyllis D. Ivery, PH.D.

Psychologist · Robins Afb, GA

Individual Active NPI

NPI number 1649532649

Practice location

655 7TH St Bldg 700700-A
78 MDG/Sgow
Robins Afb, GA 31098-2227
Phone
(478) 327-8398

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NPI record

NPI
1649532649
Entity type
Individual (Type 1)
Enumeration date
June 14, 2012
Last updated
September 10, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X PSY003523 GA

Mailing address

217 Amber Dr
Byron, GA 31008-3876
Phone
(678) 447-7211

About Dr. Ivery

Phyllis D. Ivery, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 655 7TH St Bldg 700700-A, 78 MDG/Sgow, Robins Afb, GA 31098-2227. The NPI number 1649532649 was assigned on June 14, 2012 and the record was last updated on September 10, 2012.

Dr. Ivery lists a license in the registry: #PSY003523 (GA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Phyllis D. Ivery, PH.D.?

The NPI number is 1649532649.

What is the phone number of Dr. Ivery?

The phone number listed for the practice location is (478) 327-8398.

Where is Dr. Ivery located?

655 7TH St Bldg 700700-A, 78 MDG/Sgow, Robins Afb, GA 31098-2227.

What is the taxonomy code for Dr. Ivery?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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