MEDICARE: DR. JAMES HOLLAND LEFAN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	23553	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225043631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HOLLAND LEFAN PH.D.

Provider Business Mailing Address
First Line	:	219 REVEILLE RD
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5335
Country	:	US
Telephone Number	:	512-328-9632
Fax Number	:	512-328-9632

Provider Business Practice Location Address
First Line	:	3536 BEE CAVES RD STE 204
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5474
Country	:	US
Telephone Number	:	512-328-9632
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/06/2026

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