Provider Demographics
NPI:1467273656
Name:GARELICK, IZABELLA I (PHD, LAC)
Entity type:Individual
Prefix:DR
First Name:IZABELLA
Middle Name:I
Last Name:GARELICK
Suffix:
Gender:F
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2536
Mailing Address - Country:US
Mailing Address - Phone:201-264-5678
Mailing Address - Fax:
Practice Address - Street 1:79 N FRANKLIN TPKE STE 107
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2029
Practice Address - Country:US
Practice Address - Phone:201-749-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00759000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health