MEDICARE: DR. ESTHER FELDMAN PH.D.

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	103G00000X	Clinical Neuropsychologist	PY003574	FL

General Provider Information

NPI Number	:	1386602670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESTHER FELDMAN PH.D.

Provider Business Mailing Address
First Line	:	1031 IVES DAIRY RD
Second Line	:	SUITE 228
City	:	MIAMI
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-651-0510
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 IVES DAIRY RD
Second Line	:	SUITE 228
City	:	MIAMI
State	:	FL
Zip	:	33179-2538
Country	:	US
Telephone Number	:	305-651-0510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	11/29/2010

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