Individual
DR. SUSAN JOANNA IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1611 NW 12TH AVE, REHABILITATION HOSPITAL CENTER, MIAMI, FL 33136-1005
(305) 585-1267
(305) 355-4715
Mailing address
430 NE 52ND ST, MIAMI, FL 33137-3031
(305) 546-7674
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY 5603
FL
103T00000X
Psychologist
PY5603
FL
103TC0700X
Clinical Psychologist
PY 5603
FL
103TH0100X
Health Service Psychologist
PY 5603
FL
103TP2701X
Group Psychotherapy Psychologist
PY 5603
FL
103TR0400X
Rehabilitation Psychologist
PY 5603
FL
Other
Enumeration date
04/18/2007
Last updated
06/02/2021
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