Provider Demographics
NPI:1235787920
Name:PERGJIKA, IRENA SOFIA (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:IRENA
Middle Name:SOFIA
Last Name:PERGJIKA
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8066
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-8066
Mailing Address - Country:US
Mailing Address - Phone:646-236-4982
Mailing Address - Fax:
Practice Address - Street 1:15 SALL DR
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07460-8066
Practice Address - Country:US
Practice Address - Phone:646-236-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health