Vivian Ireton Llc | |
5048 S Plaza Dr Ste B Newburgh IN 47630-3069 | |
(812) 449-9355 | |
(812) 607-9316 |
Full Name | Vivian Ireton Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5048 S Plaza Dr, Newburgh, Indiana |
Authorized Official Name and Position | Vivian L Ireton (THERAPIST) |
Authorized Official Contact | 8124499355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vivian Ireton Llc 5048 S Plaza Dr Ste B Newburgh IN 47630-3069 Ph: (812) 449-9355 | Vivian Ireton Llc 5048 S Plaza Dr Ste B Newburgh IN 47630-3069 Ph: (812) 449-9355 |
NPI Number | 1245680057 |
---|---|
Provider Enumeration Date | 06/13/2016 |
Last Update Date | 06/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245680057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 34006251A (Indiana) | Primary |
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