Individual
DR. IAN BIRKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
36 UNIVERSITY DR, BETHLEHEM, PA 18015-3062
(610) 758-3880
(610) 758-6207
Mailing address
36 UNIVERSITY DR, BETHLEHEM, PA 18015-3062
(610) 758-3880
(610) 758-6207
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005098L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS005098L
STATE LICENSE NUMBER
PA
Enumeration date
01/04/2007
Last updated
07/08/2007
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