Provider Demographics
NPI:1518978709
Name:IRWIN, WILLIAM HOWARD III (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOWARD
Last Name:IRWIN
Suffix:III
Gender:M
Credentials:PHD
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Mailing Address - Street 1:3400 LEBANON RD
Mailing Address - Street 2:ALVIN C. YORK VAMC, ASPS 126
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1237
Mailing Address - Country:US
Mailing Address - Phone:615-225-2848
Mailing Address - Fax:615-225-6351
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:ALVIN C. YORK VAMC, ASPS 126
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1237
Practice Address - Country:US
Practice Address - Phone:615-225-2848
Practice Address - Fax:615-225-6351
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5968235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist