Individual
DR. JOHN F IRELAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3101 N GREEN RIVER RD, SUITE 910, EVANSVILLE, IN 47715-1369
(812) 479-1916
(812) 479-5014
Mailing address
3101 N GREEN RIVER RD, SUITE 910, EVANSVILLE, IN 47715-1369
(812) 479-1916
(812) 479-5014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20010339A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188106
ANTHEM BC/BS PROVIDER #
IN
Enumeration date
04/03/2006
Last updated
07/09/2007
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