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NPI Code Detail

MEDICARE: JOSHUA IRELAND

MEDICARE: JOSHUA IRELAND
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1851933105
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA IRELAND
Provider Business Mailing Address
First Line : 313 THYME AVE
Second Line :
City : SHELTON
State : WA
Zip : 98584-6215
Country : US
Telephone Number : 408-518-1690
Fax Number :
Provider Business Practice Location Address
First Line : 307 W COTA ST
Second Line :
City : SHELTON
State : WA
Zip : 98584-2265
Country : US
Telephone Number : 510-337-7950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2019
Last Update Date : 10/09/2019

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Directions to “ JOSHUA IRELAND ” Practice Location

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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.

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