Provider Demographics
NPI:1932577061
Name:ISLER, LEAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:ISLER
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 1:171 E RIDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3865
Mailing Address - Country:US
Mailing Address - Phone:201-803-1610
Mailing Address - Fax:
Practice Address - Street 1:26-06 WAVERLY AVE
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3809
Practice Address - Country:US
Practice Address - Phone:201-796-7206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-06
Last Update Date:2015-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100447600103T00000X, 103TS0200X
NY017435-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist