MEDICARE: FEINER, ABRAHAM & ASSOCIATES

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
1	103TC0700X	Clinical Psychologist	PY6079	FL
2	103TC0700X	Clinical Psychologist	PY6309	FL
3	103TC0700X	Clinical Psychologist	PY5576	FL
4	1041C0700X	Clinical Social Worker	SW0170	FL
5	106H00000X	Marriage & Family Therapist	MT0675	FL
6	106H00000X	Marriage & Family Therapist	MT0267	FL
7	103TC0700X	Clinical Psychologist	PY2216	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	72867	OTHER	FL	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1245413434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEINER, ABRAHAM & ASSOCIATES

Provider Business Mailing Address
First Line	:	2525 EMBASSY DR STE 3
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4573
Country	:	US
Telephone Number	:	954-436-3800
Fax Number	:	954-436-3700

Provider Business Practice Location Address
First Line	:	2525 EMBASSY DR STE 3
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-4573
Country	:	US
Telephone Number	:	954-436-3800
Fax Number	:	954-436-3700

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. LISA FEINER
Credential	:	L.C.S.W., L.M.F.T.
Telephone Number	:	954-436-3800

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	12/11/2007

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Directions to “FEINER, ABRAHAM & ASSOCIATES ” Practice Location

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