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Contact Information

HOLLI A LEFAVOUR, PSY.D
1026 A AVE NE
CEDAR RAPIDS, IA52402-5036
 Phone: 319-368-5892
 Fax: 319-369-7812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HOLLI A LEFAVOUR · (Female)

NPI Number 1194741157
Status Active
Credentials PSY.D
Entity Individual
Enumeration date 07/14/2006
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001046
  • IL License # 071006600
  • ID Medicaid 807269000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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