| NPI | 1568459212 |
|---|---|
| Professional Name | E RACKLEY IVEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: WI 44317-020) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: WI 44317-020) |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities (Licence: WI 44317-020) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 44317-020) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 44317-020) | |
| 2084P0805X (Licence: VA 0101232074) | |
| 209800000X Legal Medicine (Licence: WI 44317-020) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2022-12-21 |