Individual
MARC HANNA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
851 ANDREA DR, SUITE 4, BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5855
Mailing address
851 ANDREA DR, SUITE 4, BUILDING E, FARMINGTON, NM 87401-6726
(505) 324-5855
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
251
NM
Other
Enumeration date
09/03/2010
Last updated
01/23/2014
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