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 Psychiatry & Neurology Geriatric Psychiatry (Licence: VA 0101232074) | |
209800000X Legal Medicine (Licence: WI 44317-020) | |
Enumeration Date | 2005-09-27 |
Last Update Date | 2022-12-21 |