Healthcare Provider Details

I. General information

NPI: 1700055522
Provider Name (Legal Business Name): JOAN A FEINSTEIN PHD, JD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 LAKESIDE DRIVE
SOUTHAMPTON PA
18966
US

IV. Provider business mailing address

1009 WAYNE RD
HADDONFIELD NJ
08033-3637
US

V. Phone/Fax

Practice location:
  • Phone: 215-497-0574
  • Fax:
Mailing address:
  • Phone: 215-497-0574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS003410-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: