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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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