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Contact Information

STACEY R LE FEVRE, PSYD
100 NAVARRE PL
STE 5570
SOUTH BEND, IN46601-1169
 Phone: 574-647-8610
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACEY R LE FEVRE · (Female)

NPI Number 1538470018
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 06/29/2010
Last updated 09/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 20043223A
  • IN Medicaid 300021361
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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