Healthcare Provider Details

I. General information

NPI: 1669501995
Provider Name (Legal Business Name): SUZETTE MILANA FEINSTEIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SUZETTE MILANA FEINSTEIN PH.D.

II. Dates (important events)

Enumeration Date: 03/04/2007
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 N 56TH ST STE 330
TEMPLE TERRACE FL
33617-4057
US

IV. Provider business mailing address

10320 N 56TH ST STE 330
TEMPLE TERRACE FL
33617-4057
US

V. Phone/Fax

Practice location:
  • Phone: 813-985-1852
  • Fax: 813-987-2563
Mailing address:
  • Phone: 813-985-1852
  • Fax: 813-987-2563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY3241
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY 3241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: