Provider Demographics
NPI:1902850183
Name:IRELAND, GLORIA H (MED)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:H
Last Name:IRELAND
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 CEDAR WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1286
Mailing Address - Country:US
Mailing Address - Phone:440-891-8848
Mailing Address - Fax:330-940-9003
Practice Address - Street 1:10900 PEARL RD
Practice Address - Street 2:SUITE C-3 WEST
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3349
Practice Address - Country:US
Practice Address - Phone:440-891-8848
Practice Address - Fax:330-940-9004
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2504103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist