Provider Demographics
NPI:1679789176
Name:IRIT BAR-NETZER
Entity Type:Organization
Organization Name:IRIT BAR-NETZER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IRTI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAR-NETZER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-915-1213
Mailing Address - Street 1:22030 CLARENDON ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6316
Mailing Address - Country:US
Mailing Address - Phone:818-915-1213
Mailing Address - Fax:818-887-1099
Practice Address - Street 1:22030 CLARENDON ST
Practice Address - Street 2:SUITE 214
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6316
Practice Address - Country:US
Practice Address - Phone:818-915-1213
Practice Address - Fax:818-887-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21128251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY21128OtherPSYCHOLOGIST