Healthcare Provider Details

I. General information

NPI: 1932577061
Provider Name (Legal Business Name): LEAH ISLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2015
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 E RIDGEWOOD AVE STE 2
RIDGEWOOD NJ
07450-3800
US

IV. Provider business mailing address

47 E RIDGEWOOD AVE STE 2
RIDGEWOOD NJ
07450-3800
US

V. Phone/Fax

Practice location:
  • Phone: 201-803-1610
  • Fax:
Mailing address:
  • Phone: 201-803-1610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number017435-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number35S100447600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number35S100447600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: