Provider Demographics
NPI:1235347329
Name:HELLNER, IRIS M (PHD)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:M
Last Name:HELLNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 W 86TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3606
Mailing Address - Country:US
Mailing Address - Phone:212-712-0630
Mailing Address - Fax:888-712-0995
Practice Address - Street 1:10 W 86TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3606
Practice Address - Country:US
Practice Address - Phone:212-712-0630
Practice Address - Fax:888-712-0995
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015048103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist