Alphonso Ivy, PLPC

NPI 1316392061 · on the registry since 2016

Practice

Address: 1323 Sullivan Ave
Saint Louis, MO 63107
Phone: (314) 503-1746
Fax: (314) 488-2059
Organisation at this address: Daniel L. Blash, Llc
Blash Counseling Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri