Basic Information
| Provider Information | |||||||||
| NPI: | 1740345438 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IHRIG | ||||||||
| FirstName: | BERNARD | ||||||||
| MiddleName: | CHARLES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 220 ATHENS WAY STE 104 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153201155 | ||||||||
| FaxNumber: | 6153201177 | ||||||||
| Practice Location | |||||||||
| Address1: | 220 ATHENS WAY STE 104 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372281351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153201155 | ||||||||
| FaxNumber: | 6153201177 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/25/2006 | ||||||||
| LastUpdateDate: | 08/02/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | M | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 08/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 1472 | TN | N | Behavioral Health & Social Service Providers | Counselor | Professional | 103TB0200X | 2361 | TN | N | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral | 103TC0700X | 2361 | TN | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC1900X | 2361 | TN | N | Behavioral Health & Social Service Providers | Psychologist | Counseling | 103TC2200X | 2361 | TN | N | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 103T00000X | 2361 | TN | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.