Individual provider · Type 1 NPI

Ilya Ivanov, DO

Psychiatry Physician · Mount Laurel, NJ

NPI number 1487848149 Active

Practice location

100 Century Pkwy Ste 350
Mount Laurel, NJ 08054-1149

Fax (856) 482-1159

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician Primary 2084P0800X025MB8329500 (NJ)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1487848149

Ilya Ivanov, DO's National Provider Identifier is 1487848149, issued on Sep 5, 2007. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Mount Laurel, NJ. The record was last updated on Mar 14, 2024.