Healthcare Provider Details

I. General information

NPI: 1487128005
Provider Name (Legal Business Name): ERIC MICHAEL FELDMAN MM, MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3338 N ADAMS ST
DENVER CO
80205-4314
US

IV. Provider business mailing address

3338 N ADAMS ST
DENVER CO
80205-4314
US

V. Phone/Fax

Practice location:
  • Phone: 970-390-8089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number11303
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: