Corbin S. Irelan is a Clinical in Paw Paw, Michigan. Corbin S. Irelan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Corbin S. Irelan is 1386634509. The last update date is 2007-07-08.
Corbin S. Irelan's current location address is 181 W Michigan Ave, Paw Paw, Michigan. You can contact this provider via phone number 2696576025 and fax number 2696575198. The mailing address for Corbin S. Irelan is 181 W Michigan Ave, Paw Paw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corbin S. Irelan |
|---|---|
| Address | 181 W Michigan Ave, Paw Paw, Michigan |
| Phone Number | 2696576025 |
| Fax Number | 2696575198 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1386634509 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 181 W Michigan Ave |
|---|---|
| City | Paw Paw |
| State | Michigan (MI) |
| Post Code | 490791432 |
| Phone Number | 2696576025 |
| Fax Number | 2696575198 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012741 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Corbin S. Irelan by the Centers for Medicare & Medicaid Services?
The Corbin S. Irelan has been issued the NPI (National Provider Identifier) 1386634509 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Corbin S. Irelan?
The Corbin S. Irelan is physically situated at 181 W Michigan Ave, in the city of Paw Paw, state of MI, with the postal code 490791432.
What is Corbin S. Irelan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Corbin S. Irelan is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Corbin S. Irelan receive its 1386634509?
The Corbin S. Irelan was issued its 1386634509 on 2005-10-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Corbin S. Irelan most recently updated or revised?
The information pertaining to Corbin S. Irelan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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