Provider Demographics
NPI:1417370008
Name:PACHLER, IRIS MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:MARIA
Last Name:PACHLER
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 1:7949 CALIFORNIA AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7156
Mailing Address - Country:US
Mailing Address - Phone:530-417-5824
Mailing Address - Fax:916-404-0457
Practice Address - Street 1:7949 CALIFORNIA AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7156
Practice Address - Country:US
Practice Address - Phone:530-417-5824
Practice Address - Fax:916-404-0457
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-02
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26304251S00000X
CA26304103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No251S00000XAgenciesCommunity/Behavioral Health