Provider Demographics
NPI:1962735233
Name:PERLSTEIN, IRIS L (LPC,LCADC)
Entity type:Individual
Prefix:MS
First Name:IRIS
Middle Name:L
Last Name:PERLSTEIN
Suffix:
Gender:F
Credentials:LPC,LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4013 SMOKE RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1536
Mailing Address - Country:US
Mailing Address - Phone:609-216-4435
Mailing Address - Fax:121-534-5710
Practice Address - Street 1:39 TAMARACK CIR
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558-2019
Practice Address - Country:US
Practice Address - Phone:609-216-4435
Practice Address - Fax:121-534-5710
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00109800101YA0400X
PAPC003587101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)