Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | SI02155 | NJ |
Y | 103T00000X | Psychologist | SI02155 | NJ |
NPI | 1013085687 |
---|---|
Provider Name | Dr. Isabel B. Brachfeld |
First Address | Morristown, NJ 07960-3527 |
Second Address | Morristown, NJ 07960-3527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5037603 | (05) | NJ |