MEDICARE: SUSAN 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	222Q00000X	Developmental Therapist
2	106H00000X	Marriage & Family Therapist	F435-786-55-550-0	FL
3	222Q00000X	Developmental Therapist		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861867087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN FELDMAN

Provider Business Mailing Address
First Line	:	106 SIENA WAY APT 1503
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-4743
Country	:	US
Telephone Number	:	203-449-6878
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 SIENA WAY APT 1503
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-4743
Country	:	US
Telephone Number	:	203-449-6878
Fax Number	:

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

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	04/05/2026

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Directions to “ SUSAN FELDMAN ” Practice Location

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