Provider Demographics
NPI:1427203991
Name:BAR-NETZER, IRIT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:IRIT
Middle Name:
Last Name:BAR-NETZER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6234 LUBAO AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-3823
Mailing Address - Country:US
Mailing Address - Phone:818-915-1213
Mailing Address - Fax:818-887-1099
Practice Address - Street 1:22030 CLARENDON ST STE 214
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6375
Practice Address - Country:US
Practice Address - Phone:818-915-1213
Practice Address - Fax:818-887-1099
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21128103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent