Irvine, Joan Doreen
Irvine, Joan Doreen is an individual health care provider with primary practice located at 3205 Freedom Dr Ste 7500 , Charlotte NC 28208-3490. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Irvine, Joan Doreen can be contacted via phone (704) 517-4632.Contact Information
Primary practice address
3205 Freedom Dr Ste 7500
Charlotte NC 28208-3490
Phone: (704) 517-4632
Fax: (252) 633-1548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2149 | North Carolina |
Profile Details
| NPI number | 1295785988 |
|---|---|
| LBN Legal business name | Irvine, Joan Doreen |
| Credentials | M.S., L.P.A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 26th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295785988 | NPPES |
| North Carolina | MEDICAID | 6107164 | |
| North Carolina | Other | 487799200 | |
| North Carolina | Other | D4850 | |
| North Carolina | Other | 046CC |
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