Doctor Name: | MRS. CAROLYNN EVA FELDBLUM |
NPI Number: | 1063825909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | SW129225 |
Business Practice Address: | 770 Woodlane Rd Westampton, NJ - 080603804 |
Business Phone Number: | 6092675928 |
Business Fax Number: | |
Mailing Address: | 358 Winding Way, MERION STATION |
State: | PA |
Postal Code: | 190661534 |
Phone Number: | 6106681820 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2014 |
NPI Last Update Date: | 06/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW129225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |