Provider Demographics
NPI:1366593535
Name:IRION, RAYMOND E (PCC-S)
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:E
Last Name:IRION
Suffix:
Gender:M
Credentials:PCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1492 E BROAD ST
Mailing Address - Street 2:TALBOT HALL UNIVERSITY HOSPITALS EAST
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1546
Mailing Address - Country:US
Mailing Address - Phone:614-257-2578
Mailing Address - Fax:614-257-3148
Practice Address - Street 1:1492 E BROAD ST
Practice Address - Street 2:TALBOT HALL UNIVERSITY HOSPITALS EAST
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1546
Practice Address - Country:US
Practice Address - Phone:614-257-2578
Practice Address - Fax:614-257-3148
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2470101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE2470OtherSTATE OF OHIO PCC-S