MEDICARE: ALLISON REBECCA FELDMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1295185627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON REBECCA FELDMAN

Provider Business Mailing Address
First Line	:	4401 ROYAL PALM AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3039
Country	:	US
Telephone Number	:	646-369-2219
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 ROYAL PALM AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3039
Country	:	US
Telephone Number	:	646-369-2219
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2016
Last Update Date	:	10/26/2023

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