Provider Demographics
NPI:1891388740
Name:LYVERS & ASSOCIATES, PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:LYVERS & ASSOCIATES, PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGUERY
Authorized Official - Middle Name:AMELIE
Authorized Official - Last Name:LYVERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:626-486-2695
Mailing Address - Street 1:960 E GREEN ST STE L-02
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2401
Mailing Address - Country:US
Mailing Address - Phone:626-486-2695
Mailing Address - Fax:
Practice Address - Street 1:960 E GREEN ST STE L-02
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2401
Practice Address - Country:US
Practice Address - Phone:626-486-2695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty