MEDICARE: DR. MARC LAUD FELDMAN PSY.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	103TC0700X	Clinical Psychologist	PS016917	PA
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PS016917	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12213541	OTHER	PA	CAQH

General Provider Information

NPI Number	:	1871891994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC LAUD FELDMAN PSY.D.

Provider Business Mailing Address
First Line	:	4 ALLENDALE LN
Second Line	:
City	:	ASTON
State	:	PA
Zip	:	19014-1902
Country	:	US
Telephone Number	:	610-675-5517
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 ALLENDALE LN
Second Line	:
City	:	ASTON
State	:	PA
Zip	:	19014-1902
Country	:	US
Telephone Number	:	610-675-5517
Fax Number	:

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

Provider Enumeration Date	:	03/14/2011
Last Update Date	:	03/19/2026

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