Ivery Datcher

NPI #1720538440 in Shreveport, Louisiana

Provider Information

NPI Number: 1720538440
Entity Type: Individual
Name: Ivery Datcher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Assistant Behavior Analyst
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 1137 GRAYSTONE DR
City: Shreveport
State: Louisiana
ZIP Code: 71107-5532
Phone: (318) 230-8253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X	Primary

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