MEDICARE: DR. ALEXANDRA Y FEINBERG M.A.

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	235Z00000X	Speech-Language Pathologist	14363	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0143630	OTHER	CA	MEDI-CAL PROVIDER NUMBER

General Provider Information

NPI Number	:	1750437505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA Y FEINBERG M.A.

Provider Business Mailing Address
First Line	:	114 ENGELHART DR
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-1581
Country	:	US
Telephone Number	:	916-485-2549
Fax Number	:	916-485-9901

Provider Business Practice Location Address
First Line	:	3033 EL CAMINO AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-6014
Country	:	US
Telephone Number	:	916-485-2549
Fax Number	:	916-485-9901

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. ALEXANDRA Y FEINBERG M.A.” Practice Location

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