Holli A Lefavour, PSYD | |
1026 A Ave Ne, Cedar Rapids, IA 52402-5036 | |
(319) 368-5892 | |
(319) 369-7812 |
Full Name | Holli A Lefavour |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1026 A Ave Ne, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194741157 | NPI | - | NPPES |
807269000 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 001046 (Iowa) | Primary |
103TC0700X | Psychologist - Clinical | 071006600 (Illinois) | Secondary |
Entity Name | St Lukes Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
Mailing Address | Practice Location Address |
---|---|
Holli A Lefavour, PSYD 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 Ph: (319) 368-5892 | Holli A Lefavour, PSYD 1026 A Ave Ne, Cedar Rapids, IA 52402-5036 Ph: (319) 368-5892 |
Dr. Susan Lois Enzle, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4403 1st Ave Se, Suite 512, Cedar Rapids, IA 52402 Phone: 319-362-3720 Fax: 319-862-1748 | |
Ms. Ingrid Dawn Meyer, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3601 16th Ave Sw, Cedar Rapids, IA 52404 Phone: 319-390-4611 Fax: 319-390-4381 | |
Don Calvin Damsteegt, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1221 Center Point Rd Ne, Cedar Rapids, IA 52402 Phone: 319-378-1199 Fax: 319-378-7497 | |
Dr. Courtney Brennaman, PH.D., C.R.C. Psychologist Medicare: Medicare Enrolled Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7331 | |
Dr. Christine Rogers Cork, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1730 1st Ave Ne, Cedar Rapids, IA 52402 Phone: 319-365-3993 Fax: 319-364-0116 | |
Dr. Kathryn Elizabeth Farley, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1026 A Ave Ne, Cedar Rapids, IA 52402 Phone: 319-369-7331 |