Doctor Name: | AMY FEDER |
NPI Number: | 1013381961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 009230 |
Business Practice Address: | 111 East Ave Suite 313 Norwalk, CT - 068515014 |
Business Phone Number: | 9178266660 |
Business Fax Number: | |
Mailing Address: | 11 Valley Rd, WESTPORT |
State: | CT |
Postal Code: | 068805126 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 009230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |