Provider Demographics
NPI:1184275331
Name:GELMAN, IRINA (PSYD)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:GELMAN
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 1:1515 N FLAGLER DR STE 800
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3431
Mailing Address - Country:US
Mailing Address - Phone:561-812-7039
Mailing Address - Fax:561-660-8794
Practice Address - Street 1:1515 N FLAGLER DR STE 800
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3431
Practice Address - Country:US
Practice Address - Phone:561-812-7039
Practice Address - Fax:561-660-8794
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006096103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty