Healthcare Provider Details

I. General information

NPI: 1831980929
Provider Name (Legal Business Name): ANDREW MICHAEL FELTMAN LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4368 DRESSLER RD NW
CANTON OH
44718-2771
US

IV. Provider business mailing address

1100 SANBORN DR
AKRON OH
44333-2957
US

V. Phone/Fax

Practice location:
  • Phone: 330-433-1300
  • Fax: 330-494-0828
Mailing address:
  • Phone: 330-867-2372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2411583
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: