| Organization Name: | IRIT FELSEN LLC |
| NPI Number: | 1528360120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IRIT VITA FELSEN (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 420 Boulevard Suite 203 Mountain Lakes |
| State: | NJ US |
| Postal Code: | 070461742 |
| Phone Number: | 9735419900 |
| Fax Number: | 9735419901 |
| NPI Enumeration Date: | 12/02/2010 |
| NPI Last Update Date: | 12/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35S100375600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |