Provider Demographics
NPI:1083751614
Name:IRIGOYEN, JOSEFINA (MS, MED)
Entity Type:Individual
Prefix:
First Name:JOSEFINA
Middle Name:
Last Name:IRIGOYEN
Suffix:
Gender:F
Credentials:MS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 EAST GRIFFIN PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572
Mailing Address - Country:US
Mailing Address - Phone:956-581-0355
Mailing Address - Fax:
Practice Address - Street 1:2116 E GRIFFIN PKWY
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-3225
Practice Address - Country:US
Practice Address - Phone:956-581-0355
Practice Address - Fax:956-581-0363
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health