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NPI Code Detail

MEDICARE: DR. JEANNE MARIE FELTER PH.D LPC

MEDICARE: DR. JEANNE MARIE FELTER PH.D LPC
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
1101YP2500XProfessional CounselorPC006325PA

General Provider Information

NPI Number : 1144565102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNE MARIE FELTER PH.D LPC
Provider Business Mailing Address
First Line : 7710 ORCHARD WAY
Second Line :
City : WYNDMOOR
State : PA
Zip : 19038-7641
Country : US
Telephone Number : 215-205-6466
Fax Number :
Provider Business Practice Location Address
First Line : 7811 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-3526
Country : US
Telephone Number : 215-205-6466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2012
Last Update Date : 12/03/2012

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