Provider Demographics
NPI:1013085687
Name:BRACHFELD, ISABEL B (EDD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:B
Last Name:BRACHFELD
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 SUSSEX AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3527
Mailing Address - Country:US
Mailing Address - Phone:973-455-1352
Mailing Address - Fax:973-285-1734
Practice Address - Street 1:440 SUSSEX AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3527
Practice Address - Country:US
Practice Address - Phone:973-455-1352
Practice Address - Fax:973-285-1734
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI02155103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5037603Medicaid
NJBR894125Medicare ID - Type Unspecified