Provider Demographics
NPI:1891105185
Name:IRIS MARIA PACHLER
Entity type:Organization
Organization Name:IRIS MARIA PACHLER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:PACHLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:530-417-5824
Mailing Address - Street 1:7949 CALIFORNIA AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7156
Mailing Address - Country:US
Mailing Address - Phone:530-417-5824
Mailing Address - Fax:916-404-0457
Practice Address - Street 1:7949 CALIFORNIA AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7156
Practice Address - Country:US
Practice Address - Phone:530-417-5824
Practice Address - Fax:916-404-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26304251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health