MEDICARE: IRENE MIRANDA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701006469	VA
2	101YP2500X	Professional Counselor	PRC14289	DC

General Provider Information

NPI Number	:	1598121998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRENE MIRANDA PH.D.

Provider Business Mailing Address
First Line	:	8010 OLD KEENE MILL RD
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1948
Country	:	US
Telephone Number	:	571-276-3859
Fax Number	:

Provider Business Practice Location Address
First Line	:	8010 OLD KEENE MILL RD
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22152-1948
Country	:	US
Telephone Number	:	571-276-3859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2016
Last Update Date	:	01/14/2016

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1891652533 — HARLEY SHARP
Practice Location Address:

1948 N LIMESTONE ST
SPRINGFIELD, OH
45503-2648

Practice Phone: 866-534-2639
Practice Fax: 800-480-7578

1750248282 — PAULLETTE FOSTER
Practice Location Address:

1948 N LIMESTONE ST
SPRINGFIELD, OH
45503-2648

Practice Phone: 866-534-2639
Practice Fax: 800-480-7578

1033285259 — RODNEY B THOMAS JR. D.C.
Practice Location Address:

770 CAREW ST
SPRINGFIELD, MA
01104-1948

Practice Phone: 413-733-1181
Practice Fax: 413-733-6676

1811037237 — CAROL SHRIVER PSYD
Practice Location Address:

3025 W OAKHAVEN LN
SPRINGFIELD, MO
65810-1948

Practice Phone: 417-844-3768
Practice Fax:

1629277421 — MS. DEBBIE KAY KARSTU NP
Practice Location Address:

1948 N LIMESTONE ST
SPRINGFIELD, OH
45503-2648

Practice Phone: 866-534-2639
Practice Fax: 800-480-7578

Directions to “ IRENE MIRANDA PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.