Doctor Name: | DR. MICHELLE FEIN |
NPI Number: | 1245445097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PY5389 |
Business Practice Address: | 6210 S Congress Ave Lantana, FL - 334622340 |
Business Phone Number: | 5616496141 |
Business Fax Number: | 5616496142 |
Mailing Address: | 3942 Westchester Way, BOYNTON BEACH |
State: | FL |
Postal Code: | 334368500 |
Phone Number: | 5619660576 |
Fax Number: | 5619660723 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY5389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |