Provider Demographics
NPI:1801002670
Name:IRONS, EDITH S (EDD, NCMFT)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:S
Last Name:IRONS
Suffix:
Gender:F
Credentials:EDD, NCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 EAST BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5803
Mailing Address - Country:US
Mailing Address - Phone:704-372-5819
Mailing Address - Fax:704-376-8675
Practice Address - Street 1:1018 EAST BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5803
Practice Address - Country:US
Practice Address - Phone:704-372-5819
Practice Address - Fax:704-376-8675
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC302106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist