| Doctor Name: | ADAM FEDER |
| NPI Number: | 1033107537 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSYD |
| License Number: | PY6660 |
| Business Practice Address: | 5451 North University Dr Suite 102 Coral Springs, FL - 33067 |
| Business Phone Number: | 3059620274 |
| Business Fax Number: | 3056534551 |
| Mailing Address: | 751 Ne 195th St, 3102 MIAMI |
| State: | FL |
| Postal Code: | 33175 |
| Phone Number: | 3059620274 |
| Fax Number: | 3056534551 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY6660 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |