Doctor Name: | DR. KARYN MICHELLE FELDER |
NPI Number: | 1245420611 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | LC1914 |
Business Practice Address: | 3811 Blackburn Ln Suite 112 Burtonsville, MD - 208661297 |
Business Phone Number: | 3014210100 |
Business Fax Number: | 3014211763 |
Mailing Address: | 3811 Blackburn Ln, Suite 112 BURTONSVILLE |
State: | MD |
Postal Code: | 208661297 |
Phone Number: | 3014210100 |
Fax Number: | 3014211763 |
NPI Enumeration Date: | 07/31/2007 |
NPI Last Update Date: | 07/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |