Doctor Name: | MARIAN BERNICE FELDMAN |
NPI Number: | 1093889578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 0680000486 |
Business Practice Address: | 5224 Shelburne Rd Suite S Shelburne, VT - 05482 |
Business Phone Number: | 8029855883 |
Business Fax Number: | |
Mailing Address: | 5224 Shelburne Rd Suite S, SHELBURNE |
State: | VT |
Postal Code: | 05482 |
Phone Number: | 8029855883 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0680000486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |