Susan Joanna Ireland in Miami - Clinical Neuropsychologist

Susan Joanna Ireland - NPI 1154547164

Susan Joanna Ireland is a Clinical Neuropsychologist in Miami, Florida. Susan Joanna Ireland practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Susan Joanna Ireland is 1154547164. The last update date is 2021-06-02.

Susan Joanna Ireland's current location address is 1611 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3055851267 and fax number 3053554715. The mailing address for Susan Joanna Ireland is 1611 Nw 12th Ave, Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Joanna Ireland
Address 1611 Nw 12th Ave, Miami, Florida
Phone Number 3055851267
Fax Number 3053554715
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1154547164
Provider Enumeration Date 2007-04-18
Last Updated Date 2021-06-02

Provider Mailing Address Detail

Address 1611 Nw 12th Ave
City Miami
State Florida (FL)
Post Code 331361005
Phone Number 3055851267
Fax Number 3053554715

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PY 5603
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

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FAQs about Susan Joanna Ireland

What is the unique identifier code issued to Susan Joanna Ireland by the Centers for Medicare & Medicaid Services?

The Susan Joanna Ireland has been assigned the NPI (National Provider Identifier) 1154547164. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Susan Joanna Ireland?

The Susan Joanna Ireland is situated at 1611 Nw 12Th Ave, in the city of Miami, state of FL, with the zip code 331361005.

What is Susan Joanna Ireland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Joanna Ireland's specialized field of practice is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103G00000X.

On what date did the Susan Joanna Ireland receive its 1154547164 assignment from the Centers for Medicare & Medicaid Services?

The Susan Joanna Ireland was assigned its 1154547164 by the Centers for Medicare & Medicaid Services on 2007-04-18.

As of what date were the details pertaining to Susan Joanna Ireland last refreshed?

The information related to the Susan Joanna Ireland, including its address, specialty, and other relevant details, was last updated on 2021-06-02.

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