Individual provider · Type 1 NPI

Phyllis D. Ivery, PhD

Psychologist · Robins Afb, GA

NPI number 1649532649 Active

Practice location

655 7th St Bldg 700700-A, 78 Mdg/sgow
Robins Afb, GA 31098-2227

Mailing address

217 Amber Dr
Byron, GA 31008-3876

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY003523 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1649532649

Phyllis D. Ivery, PhD's National Provider Identifier is 1649532649, issued on Jun 14, 2012. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Robins Afb, GA. The record was last updated on Sep 10, 2012.