Individual
DR. EARL KENNETH IRELAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
335 BRIGHTON AVE, UNIT 201, PORTLAND, ME 04102-2362
(207) 662-8660
(207) 662-8492
Mailing address
8 TEAL POINT DR, SCARBOROUGH, ME 04074-8394
(207) 883-0184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS694
ME
Other
Enumeration date
08/15/2006
Last updated
07/09/2007
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